Objectives : The purpose of this study was to examine the general characteristics, oral health knowledge and oral health behavior of elderly people and the relationship of their oral health knowledge to practice of the knowledge in an attempt to provide information on the development of the senior oral health care system. Methods : The subjects in this study were 324 elderly people who used five different social welfare centers in the regions of Sooncheon and Yeosoo. Results : 1. The oral health knowledge of the elderly people investigated was at a low level. Among different sorts of oral health knowledge, they had the best knowledge on the cause of dental caries, and they were most ignorant about the right time for regular dental checkup. 2. Regarding connections between general characteristics and oral health knowledge, the elderly people who never went to a dentist had a better knowledge on oral health, and those who cared about oral health had a better knowledge than the others who didn't. 3. As to practice of oral health knowledge, the best oral health behavior they did was to clean the tongue during toothbrushing, and oral health behavior was not to have an unbalanced diet. The second best one was to be well-nourished, and the third best one was to refrain from drinking, smoking and eating sugar-containing food. The fourth best one was to get a regular dental check-up and teeth cleaned. 4. There was a positive correlation between oral health knowledge and oral health behavior. A better oral health knowledge led to a better oral health behavior. Conclusions : The better oral health knowledge of the elderly people was followed by a better oral health behavior, and the development and implementation of customized oral health education programs geared toward the elderly are urgently required. Oral health professionals should direct their energy into providing sustainable and systematic oral health education, and institutional measures should be taken to make it happen.
The purpose of this study was to explore the level of anger and social support and to identify factors affecting anger in elderly women. This was a cross-sectional descriptive survey. A convenience sample of 155 elderly women was recruited from two senior welfare centers and three nursing homes in J city. Data were collected from June 15 to July 15, 2010 through interviews using a structured questionnaire. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression using the SPSS WIN 18.0 program. The level of social support and anger was 3.73 and 2.72 out of 5, respectively. Anger was statistically significantly different according to type of residence (B=0.21, t=2.42, ${\rho}$=.017), psychiatric medication (B=0.66, t=4.93, ${\rho}$ <.001), physical medication (B=0.41, t=4.22, ${\rho}$ <.001), and evaluation support (B=-0.15, t=-3.00, ${\rho}$=.004), and these accounted 33.0% of anger. Providing proper information and developing social support program would be useful for managing anger of elderly women.
Purpose: The purpose of this study was to examine the effect of health literacy and self-care performance on health care utilization of medicaid elderly. Methods: A total of 203 medicaid elderly over 65 and living in B-metropolitan city were interviewed. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and Hierarchical Multiple regression. Results: The average score of the health literacy was 7.88±2.84 out of 12. The average score of self-care was 3.26±0.77 points on the 5 point scale. The frequency of health care utilization by the subjects was 6.65±5.25 a month. The health literacy and self-care performance showed a statistically significant positive correlation. The health literacy and self-care performance showed a statistically significant negative correlation with health care utilization. The factors affecting health care utilization of the subjects were self-care performance, health literacy, and religion, and the explanatory power was 25%. Conclusion: The results indicate that the self-care performance, health literacy, religion are significant factors of health care utilization in medicaid elderly. Therefore, it is necessary to develop strategies to improve their self-care performance and health literacy for reasonable health care utilization. Also, it is necessary to provide the elderly with correct information about medical use from accessible religious institutions, senior community center, and welfare centers.
Objectives: The purpose of the study is to investigate the change of the salivary flow rate, xerostomia, and oral health-related quality of life in the elderly people after the application of oral massage. Methods: The subjects were 101 elderly people at two senior welfare centers in Mokpo from November, 2012 to January, 2013 by the application of oral massage. The final subjects were 56 elderly people who participated in the massage more than 15 times of 20. They were measured for saliva flow rate, xerostomia, and OHIP. On the first and the last day, a self-reported questionnaire was completed by the elderly people. The questionnaire consisted of general characteristics of the subjects, oral health related knowledge, symptoms and behavior of xerostomia, and OHIP. OHIP included functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap, and was measured by Likert 5 point scale. Results: The salivary flow rate of the elderly people increased after the implementation of the program. There was a significant improvement in xerostomia, functional limitation, physical pain, psychological discomfort, and social efficacy (p<0.001). Conclusions : The oral massage program enhanced the oral function of the elderly people, and had an influence on the improvement of oral health-related quality of life.
Background: The purpose of this study was to identify the status of Successful Aging among the elderly aged 65 and over in rural areas and to compare factors related with Successful Aging between "kyung-ro-dang" users and non-users. Methods: A total of 181 elderly aged 65 or older were selected from four districts (Heung-upri, Mejiri, Sajerri, and Daeanri) of Wonju city. A survey method using face to face interviews was applied to collect information. Successful aging was measured on a 5-point Likert-type scale using the successful aging scale developed for the Korean elderly, which indicates the higher the score, the higher the level of successful aging. Descriptive statistics, bivariate, and multivariate analyses were computed; the level of significance was set at 5%. Hierarchical polynomial regression was applied to find out the factors associated with successful aging. Results: Of the total, 112 elders used kyung-ro-dang and 69 elders who did not use kyung-ro-dang. The level of successful aging of the elderly was higher among kyung-ro-dang users than non-users. The factors related to successful aging among kyung-ro-dang users were walking and social participation. Users who walk more than 4 times per week and social participation activities have a higher level of satisfaction. In the case of non-users, a higher level of monthly income, having a spouse, social support, and social participation associated with a higher level of successful aging. Conclusion: Monthly income, social participation, and social factors were found to be related to successful aging along with physical and mental health conditions among the elderly in rural areas. Therefore, it can be concluded that income, social as well as mental and physical factors, are more critical for successful aging in the rural community care in Korea.
Purpose: The purpose of this study was to examine the effect of the foot-reflexology massage on sleep, depression and constipation in community-dwelling elders. Methods: A nonequivalent control group pretest-posttest design was conducted. Participants were 46 old adults, aged >65 years who were recruited from two senior welfare centers in D metropolitan city (experimental group=24, control group=22). The intervention was conducted in 10 sessions over 2 weeks, taking 20 min per session. Collected data were analyzed using descriptive statistics, ${\chi}^2-test$, independent t-test, and Pearson correlation coefficient with the SPSS 22.0 Windows program. Results: The experimental group showed significant improvements in sleep (t=-5.60, p<.001), depression (t=3.93, p<.001), and constipation (t=4.90, p<.001) after 2 weeks of the foot-reflexology massage. Conclusion: These findings indicate that the foot-reflexology massage is an effective intervention program for improving sleep, depression and constipation of old adults.
Purpose: This study aimed to identify factors affecting the quality of life of the elderly people with chronic musculoskeletal pain. Methods: The data were collected from 307 older adults aged 65 years or older with chronic musculoskeletal pain, who visited senior welfare centers in two cities. We used self-rated questionnaires including NRS for pain, WHOQOL-BREF for quality of life, Pain Response Inventory for coping responses to pain, and MSPSS for social support. Stepwise multiple regression analysis were performed using SPSS/WIN 23.0 to identify factors affecting the study subjects' quality of life. Results: The regression model explained 43% of quality of life, which was statistically significant (F=34.11, p<.001). Educational level of high school (${\beta}=.13$, p=.006), pain (${\beta}=-.13$, p=.013), restriction of function (${\beta}=-.13$, p=.028), accommodative pain coping (${\beta}=.24$, p<.001), family support (${\beta}=.18$, p<.001), colleague's support (${\beta}=.25$, p<.001), and perceived health status (${\beta}=.25$, p<.001) were identified as influential factors on subjects' quality of life. Conclusion: Developing integrative interventions is necessary to improve accommodative pain coping skills and to engage family and colleague in support for positive perception of older adults' health status and management of symptoms.
Objectives : The purpose of this study was to investigate the relationship between the oral health status of elderly people and their oral health-related quality of life. Methods : The subjects were the elderly people over 65 years old in Busan. A total of 479 elderly people participated in the study from general hospital, two research institutes, eight dental clinics, six welfare institutions, sixteen senior centers, and three nursing homes. The oral health impact profile-14 (OHIP-14) was used in the routine dental checkups of the elderly people. Results : Those who had no oral symptoms had a better oral health-related quality of life. Among the subfactors of the OHIP-14, significant differences were shown in functional limitation(p=0.001), physical pain(p<0.001), emotional discomfort(p<0.001), physical disability(p=0.001), emotional disability (p=0.001), social disability(p=0.005), physical handicap(p=0.003) and total OHIP-14(p<0.001). Those who had 18 sound teeth(natural teeth) or more had a better oral health-related quality of life. Among the subfactors of the OHIP-14, significant differences were shown in functional limitation(p<0.001), physical pain(p=0.007), emotional discomfort(p=0.019), physical disability(p=0.018), Emotional disability(p=.032) and total OHIP-14 (p=0.006). Conclusions : The results revealed a close relationship between oral health status and oral health-related quality of life. The number of sound teeth(natural teeth) and frequency of toothbrushing had a more positive influence. Therefore oral health programs for the elderly people can preserve remaining teeth. Toothbrushing is the best way to improve the quality of life in the elderly people.
The purpose of this study was to investigate the effects of family cohesion and self-care agency on the quality of life in community-dwelling elderly. Using a descriptive survey design, data were collected during September 2-20, 2016 by distributing questionnaires to and retrieving them from 197 elderly participants aged 65 years or older in two senior welfare centers located in "B" metropolitan city. Results showed that family cohesion of community-dwelling elderly was significantly positively correlated with their self-care agency (r=.434, p<.001) and quality of life (r=.544, p<.001), while self-care agency was significantly positively correlated with quality of life (r=.571, p<.001). The factors that had the biggest effect on the quality of life in community-dwelling elderly were identified in the order of self-care agency (${\beta}=0.413$, p<.001) and family cohesiveness (${\beta}=0.365$, p<.001). These variables were found to have an explanatory power of 42.8% for quality of life (F=74.31, p<.001). Therefore, a strategy to improve self-care agency and family cohesion may be helpful in improving the quality of life in community-dwelling elderly.
This study analyzed the effects of participating in wholeness programs according to virtual reality(VR) viewing status on the cognitive function, depression and activities of daily living of elderly with dementia. The subjects were 8 elderly persons aged 75 years or older who were diagnosed with dementia by a neurologist who were divided into an experimental group of 4 subjects that participated in a wholeness program after 15 minutes of VR viewing and a control group of 4 subjects that participated in a wholeness program without viewing VR. Data were collected through pre and post test, and analyzed in the wholeness program conducted at K1 and K2 Senior Welfare Centers in Seoul from March 6 to April 14, 2017, twice every week for 60 minutes. As a result, there was no effect on cognitive function and activities of daily living, but there was a significant difference in depression, and it was confirmed that wholeness program activity after VR watching decreased depression of elderly with dementia.
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