• Title/Summary/Keyword: Poor elderly

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Health-related Behavior Affecting Hypertension in the Elderly Using Data from the 8th Korea National Health and Nutrition Examination Survey (노인의 고혈압에 영향을 주는 건강행태요인 - 제8차 국민건강영양조사를 활용하여)

  • Jongsuk LEE
    • Korean Journal of Clinical Laboratory Science
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    • v.56 no.2
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    • pp.163-170
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    • 2024
  • The present study sought to assess the health-related behavior affecting hypertension in the Korean elderly. A data set comprising 1,404 subjects aged ≥65 from the Korea National Health and Nutrition Examination Survey VIII-1 (2019) was analyzed. In men, the incidence of hypertension was associated with age (odds ratio [OR], 1.056; P=0.004), absence of a family history of chronic diseases (OR, 0.662; P=0.024), underweight status (OR, 0.142; P<0.001), normal weight status (OR, 0.390; P<0.001), and non-drinkers (OR, 0.552; P=0.001). In women, the incidence of hypertension was associated with age (OR, 1.091; P<0.001), absence of a family history of chronic diseases (OR, 0.424; P<0.001), normal weight status (OR, 0.532; P<0.001), and poor subjective health level (OR, 1.640; P=0.018). In conclusion, the factors affecting hypertension in men were age, obesity, family history of chronic diseases, and drinking. In women, the factors affecting hypertension were age, obesity, family history of chronic diseases, and subjective health level. Therefore, it is proposed to make efforts to establish gender-appropriate health promotion and intervention programs and health policies to reduce the incidence of hypertension in the elderly.

Effects of the Comfort Promotion Program for Prevention of Delirium among Elderly Patients Hospitalized in Long-term Care Hospital (요양병원 입원 노인환자의 섬망예방을 위한 안위증진 프로그램 개발 및 효과 검증)

  • Hwang, Hye-Jeong;Shin, Yeonghee;Kim, Gaeun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.203-215
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    • 2017
  • Delirium is an acute confused state associated with poor outcomes among hospitalized long-term care hospital elderly patients. This study was conducted to examine the effects of acomfort promotion program based on Kolcaba's comfort theory for prevention of delirium among elderly patients who have been hospitalized in long-term care hospitals. The study used was a quasi-experimental type, with two groups of patients; those who received their usual care plus comfort nursing intervention (n=34) and those who only received usual care methods. Using the IBMSPSS/PC (Version 21), the homogeneity of the control and intervention group wereevaluated by the chi-squared test and an independent t-test, and all collected data wereanalyzed. Hypotheses were tested by independent t-tests and repeated measures of ANOVA. Delirium occurred at a rate of 2.9% (1/34) in the intervention group and 14% (5/34) -in the control group ($x^2=3.98$, p=0.047). The severity of the delirium in theintervention group was lower than that of the control (t=2.27, p=.027). The duration of delirium was 2days in the intervention group and 2-10days in the control group, indicating delirium in the intervention group lasted for a significantly shorter period ($x^2=3.22$, p=0.048). According to the change of time, the intervention group showed improvement in all areas including comfort scores (F=108.85, p<0.001), anxiety scores (F=63.39, p<0.001), depression scores (F=89.78, p<0.001), quality of sleep scores (F=63.63, p<0.001), and pain scores (F=93.64, p<0.001). In conclusion, elderly patients who were admitted to nursing homes were advised to participate in nursing intervention,which effectivelyprevented delirium based on the Kolcaba's comfort theory of physical, psychological, spiritual, social, cultural and environmental approaches to prevent delirium. Therefore, it is necessary to extend the program for prevention of delirium in the physical, psychological, spiritual, social, cultural, and environmental contexts to prevent delirium in geriatric hospitalized elderly patients.

Primary Traumatic Anterior Shoulder Dislocation in the Middle-aged And Elderly Patients (중장년층에서의 외상성 견관절 탈구)

  • Lee Kwang-Won;Ryu Chang-Soo;Kim Ha-Yong;An Jae-Hun;Yum Jin-Sub;Kim Whoan-Jeang;Choy Won-Sik
    • Clinics in Shoulder and Elbow
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    • v.3 no.2
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    • pp.75-78
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    • 2000
  • Purpose: The purpose of this study was to review primary traumatic anterior shoulder dislocation in the 40 years and older to determine the incidence of recurrence, rotator cuff injury and associated fractures. Materials and Methods: From May, 1991 to October, 1998, seventeen patients were available to participate in the study. The average age was 55 years(range, 40 to 75 years). Follow-up averaged 27 months(range, 12 to 48 months). There were 12 men and 5 women. 10 right and 7 left shoulders were involved. Any participant with a history of shoulder pain and limitation of motion was excluded from the study. Each shoulder was evaluated with UCLA shoulder functional assessment. Results: The overall results were excellent in 9 patients(52.9%), good in 3 patients(17 .6%), fair in 3 patients(17.6%), and poor in 2 patients(11.7%). Surgical treatment of the associated rotator cuff and greater tuberosity fracture injuries resulted in 5 patients with excellent(55.6%), 3 patients with good(33.3%) and I patient with poor(11.1 %) and Nonsurgical treatment of the associated injuries resulted in 2 patients with excellent(33.3%), 3 patients with fair(50%), 1 patient with poor(16.7%)(P=0.025). Conclusion : Our findings on small number of patients suggest that the diagnosis of a rotator cuff and other pathologies should be approached aggressively by an MRI, CT arthrogram if significant pain and weakness are still present and early surgical repair of rotator cuff and greater tuberosity can lead to restoration of shoulder function and better outcomes in selected patients.

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Effects of Origanum Majorana Essential Oil Aroma on the Electroencephalograms of Female Young Adults with Sleep Disorders (마조람 에센셜 향기요법이 수면장애 성인 여자의 뇌파에 미치는 영향)

  • Jung, Han-Na;Choi, Hyun-Ju
    • Journal of Life Science
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    • v.22 no.8
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    • pp.1077-1084
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    • 2012
  • This study investigated the effects of Origanum majorana essential aroma therapy on electrical activity in the brain as evaluated by an electroencephalogram (EEG). The subjects were 29 healthy female young adults, and their sleep quality was assessed by using the Pittsburgh Sleep Quality Index. EEG electrodes were attached at the frontal, temporal, occipital, and parietal lobes according to the international 10-20 system. Subjects were exposed to organic Origanum majorana essential aroma (50 ${\mu}l$) for a period of 3 minutes each before, during, and after aromatherapy. Subjects with good sleep quality showed that Origanum majorana essential aroma increased the theta power at the frontal and temporal lobes of both cerebral hemispheres, the left parietal lobe, and the right occipital lobe. Furthermore, Origanum majorana essential aroma decreased the alpha power at the left occipital lobe and the beta power at the right temporal lobe. On the other hand, subjects with poor sleep quality showed an increase in the theta power at the temporal lobe of both cerebral hemispheres and a decrease in the alpha power at the left parietal lobe by Origanum majorana essential aroma therapy. It is concluded that Origanum majorana essential aroma therapy diminishes the state of wakefulness in the brain; alpha and beta powers were both decreased in the subjects with good sleep quality, but only alpha power was decreased in the subjects with poor sleep quality. Moreover, Origanum majorana essential aroma therapy has a sleep-inducing effect in both subjects with good sleep quality and poor sleep quality.

An Exploratory Study on the Children for Poverty Housing (아동 주거빈곤 정책 마련을 위한 탐색적 연구)

  • Ko, Ju-Ae
    • Land and Housing Review
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    • v.7 no.2
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    • pp.77-85
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    • 2016
  • The government has switched the purpose of housing policy, from the 'housing supply' to 'housing welfare', with the Housing Laws established in 2015 under evaluation that resident stability and resident standard were improved. But, as 'affordable' housing is gradually decreasing, residential environment has become more poor. Residential environment is a basic element for the child safety, health, and better education. This study explored that the poor resident environment had effect on the child, figured out the situation on housing poverty of domestic child and searched the situation of the residential policy of domestic and foreign child. The main results are as follows. First, the poor resident environment of childhood has a bad effect on the physical health, mental health, academic achievement and cognitive development. Second, 1.29 million children (11.9%) are living in condition of housing poverty below minimum resident standard and are concentrated in certain areas. Third, the policy on housing poverty of domestic child is almost absent and focuses on the elderly, young people. this study discussed political and practical solutions based on these research results. On the basis of these research results, as policy suggestions we proposed housing policy making based on the UN Convention on the Rights of the Child, evidence-based housing policy enforcement and, residential policy suggestions under the responsibility of central government, and as practical suggestions community working as the subject and related agency's solidarity from prevention activity of housing poverty and child advocacy point and we discussed way for issue and analyzed related laws, policies, commitments.

The Association Between Expectations Regarding Aging and Health-Promoting Behaviors Among Korean Older Adults (노화에 대한 기대수준이 노인의 건강증진행위에 미치는 영향)

  • Kim, Su-Hyun
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.932-940
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    • 2007
  • Purpose: This study was performed to measure expectations regarding aging among community-residing older adults, identify sociodemographic characteristics associated with the level of expectations regarding aging, and examine whether expectations regarding aging were associated with health-promoting behaviors. Methods: Data was collected by using questionnaires of a short version of the Expectations Regarding Aging Survey (ERA-18) and Health Promoting Lifestyle Profile II (HPLP II) from 99 older adults who resided in the community of Kyunggi, Daegu, and Kyungpook province. Results: More than 75% of the participants reported that it was an expected part of aging to have more aches and pains, to become depressed, and to become more forgetful. The mean score of expectations regarding aging was $23.15{\pm}17.80$ (possible range 0-100). The old-old, women, those with less education, less monthly allowance and poor health status had lower expectations regarding aging than other elderly. After controlling for sociodemographic characteristics and perceived health, expectations regarding aging were independently associated with health-promoting behaviors in older adults. Conclusion: The findings demonstrate that older Korean adults have low expectations regarding aging, and expectations regarding aging influence health-promoting behaviors.

A study on the dietary intake and health of aged person II -Based in elderly person in Young Dong area- (노인의 식이섭취 실태와 건강상태에 관한 연구 II -영동지역을 중심으로-)

  • Yum, Cho-Ae;Jang, Myung-Sook;Lee, Hyun-Ok
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.16 no.4
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    • pp.317-322
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    • 1987
  • The Purpose of this study· was to investigate the dietary intake and health for male and female old persons living in Young Dong by mean of questionnaire and interview. The results from the above survey are summerized as follows ; 1. The aged average height, weight, and physical index were 166cm, 60kg, 19.31 in male, 156cm, 50kg, 20.27 in female which were almost the same as the Korean average standard (male; 167. 0cm, 61. 0kg, 21.8, female; 156cm, 53.0kg, 21.8). Among the condition of diseases, neuralgia was 45.3%, hypertension was 12.2%, constipation was 10.4%. 2. Correlation coefficients between systolic blood pressure, diastolic blood pressure and age were significant(P<0.05, P<0.01), and also those between systolic blood pressure, diastolic blood pressure and Body Mass Index were significant(P<0.01, P<0.005). 3. Correlation of food intake frequency of protein group, calcium group, vitamin and mineral group was divided three levels-Good, Fair, Poor. Food intake frequency as the factors(three groups) which might influence the condition of health was partly significant (P<0.05, P<0.1).

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A study on the Improvement of Welfare System for Care Worker in Seoul (서울시 요양보호사 처우개선을 위한 지원방안 연구)

  • Kim, Jihye;Kim, Seokjoon;Lee, Junyoung;Lee, Okjin;Oh, Gayoung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.4
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    • pp.15-23
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    • 2011
  • Long-term care Insurance system for the Elderly was started to respond to the aged society on July 2008 in Korea. So responsibility of the care for the old is being changed from the family to the society. The introduction of that insurance system has brought the growth of demand for care service. To improve the level of quality for care service providers in long-term care, the role of care worker in providers is recognized as important. But welfare system for the care worker seems to be poor. So the Seoul Metropolitan Council is preparing an ordinance for the care worker and the purpose of this study is for the ordinance as well. Questionnaires, interviews, documentary surveys were used to carry out this study. The results of this study are summarized as follows. The job stability is the most important thing for the care worker, so local government has to make efforts to promote the job stability of care worker. A welfare center for care workers is needed for the health for care workers in the local government. And the local government has to supervise service providers more strictly and evaluate them in treatments of care worker.

A Basic Study on Urban Regeneration in Gwangju-City Using GIS (GIS를 활용한 광주광역시 도시재생방향에 대한 기초연구)

  • Lee, Min-Seok
    • Journal of the Korean housing association
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    • v.26 no.1
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    • pp.99-107
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    • 2015
  • The purpose of this study is to present an appropriate approach to urban regeneration by analyzing Gwangju Metropolitan City. For the study, residential area of Asia Culture Complex was analyzed based on GIS. The areas concerned were categorized and looked into by their Situation based on the analysis of urban infrastructure state. However, as the architectural space within a city are limited, and accurate assessment of them is needed. The residential areas have the following characteristics. They become an aging and dilapidating residential and socially underprivileged-concentrated area. It is necessary to set up a direction for a future-oriented planning for the development of these areas. Along with a decreasing population, it is important to improve the urban architecture environment for the elderly in an aging society. The economic growth of a city if necessary for the future. Therefore, the criteria for the assessment is required. And the subsequent setting-up and planning of a future direction for a city is badly needed. After that, an accurate assessment of a city called for. City space allows for various interpretations. As the rich are getting richer and the poor are getting poorer, a wealth is concentrated on one district or an area.

Study of Importance of Grade Decision to Enforce the Insurance Policy for Long-Term Care (노인장기요양보험제도 시행에 따른 등급판정의 중요성에 대한 연구)

  • Lee, Tae-Sik;Goo, Bong-Oh
    • The Journal of Korean Physical Therapy
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    • v.20 no.2
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    • pp.43-48
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    • 2008
  • Purpose: The purpose of this study is to investigate the importance of grade decision and role of physical therapist which follows enforcement of elderly long-term residential care insurance system. Methods: One of the data from grade decision meeting in Bukgu, Busan on 2007 which was 88 case of attached finding of doctor was compared with findings of visited investigator. Result: Eighty-four investigation subjects had 186 diseases that included stroke and arthritis, requiring the need for physical therapeutic approaches. In addition, the results of the door-to-door research project in the northern district of Busan showed that there was no match out of 88 subjects who submitted the viewpoint of the doctor. Such a result was produced as the doctors did not diagnose the patient directly, but rather the diagnoses were obtained from guardians and a door-to-door researcher who had a poor understanding of geriatric motion and function. Conclusion: To enforce long-term care successfully, a re-investigation should be performed for the welfare of the aged.

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