Various housing measures are needed for the rapidly aging society of Korea. In particular, the welfare policy for the elderly has changed towards the community care. Taking this fact into consideration, it is necessary to have the establishment of a system that offers the elderly appropriate welfare services at their appropriate residence (ageing in place) for the effectiveness of the community care. In this aspect, there are a number of implications to Korea to study merits and demerits of the Health Facilities for the Aged (HFA) in Japan. The society of Japan has been rapidly aging since 1970, and Korea is to face the same situation. As for the data of this study, a total of 2,393 facilities (as of November 1999) mentioned in the annual report of the Japanese Ministry of Health, Labor and Welfare were classified based on types of their establishment: (1) free-standing structures (603 facilities); (2) annexes to hospitals (981 facilities); (3) annexes to welfare facilities (511 facilities); and (4) annexes to clinics (298 facilities). Next, 239 facilities were selected through taking a sample of 10 percent from each type of the HFA mentioned above. This was done through the random sampling method with the computer program of MS EXCEL. The Implications of the results of analyses are as follows. First, most of the health facilities were planned with the scale that was larger than the scale of standard special nursing homes in terms of the total floor area. Precise equations that were to obtain precise results of the scale of the HFA and the appropriate number of residents were obtained through the method of the regression analysis. Korea and Japan have similarities in terms of culture, society and family relations; however, the two countries also have differences in terms of the application of laws on the establishment of houses, hospitals, and welfare facilities. As for planning the scale of the HFA, the realities of Korea should be considered. Second, as for the functional aspect of the HFA with a condition of returning home, the place before and after the HFA showed the pattern of 'from a residential place to a residential place' and 'from a hospital to a hospital.' This reveals a close correlation with the types of the HFAs and operational ways of the facilities. Its cause is considered to be the aspect of the operation and management of the HFA rather than the aspect of its function of providing services in association with medical and health facilities. Therefore, when intermediate welfare facilities are considered in Korea, it is strongly advised to consider the problem of annexes to other facilities and efficiency of sharing of the facilities in terms of its operation and management.
Objective: The purpose of this study was to find the limited patterns of middle-aged women in selective functional movement evaluation and analyze the effects of pattern improvement exercises and general control groups on the Health Risk Appraisal (HRA). Design: Randomized controlled trial. Methods: The 31 subjects were physically healthy middle-aged women aged 40-59 living in Seoul, The subjects were randomly divided into an experimental group and a control group. Forty-three physically healthy women were originally recruited and randomly assigned to either the experimental group (n=22) or the control group (n=21). However, due to lack of participation, a total of seventeen subjects in the exercise group and fourteen subjects in the control group participated in the study. All subjects were tested using Selective Functional Movement Assessment (SFMA) and HRA for the baseline measurement and joined an exercise program of their group for one hour per session, twice a week for four weeks. The experimental group was provided with the corrective exercises and the control group was given the general fitness program. A follow-up test was conducted after eight weeks from the baseline measurement. Results: Both experimental and control group showed significant changes in SFMA and HRA scores (p<0.05). In the experimental group and control groups, the SFMA and HRA showed significant improvement from baseline to 4 weeks (p<0.05). Also, in the experimental group, the SFMA was significantly improved from baseline to 8 weeks (p<0.05). For the experimental group, there was a significant improvement in SFMA after 4 weeks compared to the control group (p<0.05). Conclusions: The corrective exercise in the experimental group had a positive effect on the SFMA score as well as the general squat exercise in the control group. The corrective exercise and general control group had the same positive effect on the HRA score.
The study analyzed a diachronic distribution, social meanings and social evaluations of ROOJIN. 'Headline Database of Newspaper Articles' and 'Balanced Corpus of Contemporary Written Japanese' by KOKKEN were used as research data. There were 305 newspaper articles (About 0.2%) which contained the word ROOJIN at 'Headline Database of Newspaper Articles'. The number of newspaper articles related to ROOJIN started to increase in a rapid rate in 1972 and 1973. They were also increased in 1976, from 1981 to 1987, 1992 and 1993. The reasons of increasing of newspaper articles related to ROOJIN on those 4 periods of time could be summarized as follows. Firstly, there was a increasement of ROOJIN who are lonely, are not able to move about freely or live alone. Secondly, the understanding of a symptom of aging called BOKE was necessary. Thirdly, there were negative evaluations in a society towards ROOJIN. There were 453 cases which contained the word ROOJIN at 'Balanced Corpus of Contemporary Written Japanese' on the data since 2000. The most frequently used words were ones that are related to senior care facilities. There were 109 cases (24%) which contain those words. '~SISETSU', '~SENTA-', '~HO-MU' were presented as words related to senior care facilities. Among them, 78 cases contained the word '~HO-MU' which was similar to a home with family members. The second most frequently used words were ones that are related to 'welfare for the aged' and they are led by 'medical care for the aged'. They occupied about 8%. Institutionalization of medical care for the aged, medical expenses, nursing were presented as words related to 'medical care for the aged'. Words that were related to 'welfare for the aged' led by 'senior care facilities' and 'medical care for the aged' occupied about 32% of research data. As mentioned above, problems of the aged in Modern Japan such as negative evaluations in a society towards ROOJIN, ROOJIN who are lonely, are not able to move about freely or live alone, BOKE could be identified by analyzing the data. Also, The frequent usage of words such as 'Home for the aged', 'medical care for the aged' and 'nursing' could be identified. The outcome of analysis suggested that a family traditionally had a function of solving problems of the aged but that function was reduced in modern Japan. It also suggested that there was a tendency to outsource problems of the aged as much as possible.
This study was purposed to examine the effect of the parental care burden on the labor force participation of the middle aged and older women. For this, this study used 2,125 samples aged from 50 to 70 years old that were extracted from 1st and 2nd wave of the Korean Retirement and Income Study(KReIS). In order to examine the causal relationship between two variables, Generalized Estimating Equation(GEE) and Multi-nominal Regression analysis were performed. The results showed that there was a positive effect of the parental care burden on the labor force participation of the middle aged and older women. However, this effect was limited only to the employment to the unpaid family workers. In addition, the effect was varied according to the level of caring time to the old parents. Based on that, several policy and practical implications were suggested.
Kim, Byeong-Soo;Lim, Kang-Uk;Baek, In-Seon;Kim, Min-Kyoung;Kang, Hye-Min;Nam, Gi-Jeong;Lee, Myung-Mo
Physical Therapy Rehabilitation Science
/
v.8
no.1
/
pp.32-39
/
2019
Objective: The aim of this study is to investigate the effects of whole body vibratory stimulation on muscle strength, balance, and fall efficacy among super-aged women. Design: Randomized controlled trial. Methods: Twenty-eight super-aged women over 80 years of age were assigned to either the experimental group (n=14) and control group (n=14). The experimental group received an exercise program that used the whole body vibratory stimulation with a frequency of 30 Hz and amplitude of 3 mm, and the control group received an exercise program without vibratory stimulation. Intervention was provided for 4 weeks, 3 sessions per week, and 30 minutes per session. In order to measure lower extremity muscle strength the 30-second chair stand test (CST) was used. The Berg Balance Scale (BBS) was used to measure dynamic balance. Static balance was measured by tracking the path length, velocity, and area of the center of pressure (CoP). The Falls Efficacy Scale (FES) was used to measure the subjects' fear of falling. Results: Both the experimental and control group demonstrated statistically significant increase in muscle strength, dynamic balance, and fall efficacy (p<0.05). Only the experimental group showed significant improvements in static balance before and after the intervention (p<0.05). The experimental group showed significantly greater improvements in CST, BBS, and CoP (path length, velocity) than control group (p<0.05). Conclusions: Whole body vibratory stimulation exercise is shown to be a safe and appropriate physical therapy intervention method to enhance muscle strength, balance, and fall efficacy of super-aged women.
The purpose of this study was to identify the factors affected on the perception of appropriateness and the evaluation of physical state in the public community facilities. The sample of the study were consisted of 381 middle-aged and the aged who were participated in the leisure programs of the public community facilities and were living in Seoul and Daegu. Frequencies, means, one-way ANOVA, and multiple regression were employed for the analysis. The results of the study were as follows: The perception of appropriateness and the evaluation of the physical state in the public community facilities were differed by the type of facilities. The factors affected on the perception of appropriateness of the public community facilities were region, the access of transportation, and leisure attitude of the middle-aged and the aged. The factors had effects on the evaluation of the physical state of the facilities were educational attainment, health status, region, the access of transportation and the leisure participation.
As the government's public services have been digitized, the necessity of research on the use of e-government services by middle and high-aged people has been raised. Thus, this study aims to verify the mediating effect of digital capacity on the relationship between the family structure and use of e-government services of middle and older aged adults. The study analyzed 1,660 middle and elderly individuals from the 2018 Digital Divide Survey conducted by the National Information Society Agency(NIA) using Baron & Kenny(1986)'s method for mediation. The result is as follows: first, the family structure of the middle and older adults has a significant effect on use of e-government services. Second, the effect of the family structure of middle and older aged people on use of e-government services is partially mediated by digital capacity. The result represents that the elderly living with two or three generations have higher use of e-government services than the elderly living alone and married elderly couple. Also the elderly living with two or three generations have higher digital capacity, resulting in higher use of e-government services. Based on the results, The study suggested that the specific plan for each type of family structure to promote the use of e-government services and a plan to improve the digital capacity of middle and older aged adults.
The purpose of this study is to explore how children aged four, in institutional care, perceive and express basic emotions, such as happiness, sadness, anger, surprise, through a role play program using dolls. This study selected two children who were both aged four years old and are currently in child institutional care. The children were observed during six role play trials using dolls and were questioned after the trials. The results were : 1) The children aged four in institutional care best perceived and expressed the emotion of happiness. 2) The children aged four in institutional care were able to positively change their feelings of sadness and expressive behavior through the intimate relationships they formed with the researcher. 3) The children aged four in institutional care expressed the emotion of anger throughout the entire role play using dolls and were positively changed the instructions and coaching given by the researcher. 4) The children aged four in institutional care had the most difficulty in expressing the emotion of surprise. The results of this study could be used as basic data for creating a program intended to help children aged four in institutional care develop their emotions.
This study is conducted to find ways to develop design and research activities on personal belongings for the aged generation and aims to promote the industry and improve welfare of the elderly population by enhancing their quality of lives. Researches on policy papers, journals and published books show high growth potentials for elderly related industries due to rapid aging, retirement of baby boomer population and quality-oriented life styles. Regulations and standard, however, are lacking and, with shortage of R & D investment, human resources have not been secured in this industry. This is a niche market that has definite consumers. Therefore, it has been confirmed that when design and research efforts are made in this field, it can contribute to the benefit of aged generation as well as the development of the national economy.
This study aimed to explore the life experiences of middle-aged and older women with disabilities using the photovoice method. Six middle-aged and older women with physical disabilities or brain lesions selected four themes through group discussion and shared their experiences using photos they took that reflect the four themes: my worsening health and the way I manage my health (identifying red flags for ill health, trying to coping with poor health), my leisure life (my limited leisure activities, enjoying my own leisure time), my social participation (participating in social activities that give me pleasure, participating in social activities to help make a better society), and my later life (worryingabout financial hardships and being alone in my later life, hoping for happiness in my later life). Study findings indicate the value of services and policies for middle-aged and older women with disabilities that provide guidance for health management and psychological counseling, extend opportunities for leisure and community participation, and provide skill training and educational programs for promoting financial and emotional independence in later life.
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