• Title/Summary/Keyword: The Elderly in Rural Area

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A Comparative Study of ADL, IADL in Urban and Rural Elderly - Taejon, Koje Area (일 도시.농촌노인의 ADL, IADL 비교연구 -대전.거제지역을 중심으로-)

  • Li, Chun-Yu;Kim, Keum-Ee;Kim, Hyun-Li
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.225-236
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    • 1997
  • This study was conducted to investigate the elderly in urban and rural ares. The subjects were selected in a convenient sampling and the total number was 189(Urban : 95, Rur al : 94). The data were collected by one to one interviews in the period of Sep. 1-30, 1995(Koje) and March 15-28, 1997 (Taejon). The study tools for this study were 1) ADL and IADL 2) Self rating scores for health status. The data were analyzed by percentage, T-test, ANOVA, $X^2$ Test, Pearson correlation coefficiency by SPSS pc WIN. 7.0 program. The results were as follows: 1. The self rating score for health status of the elderly in urban area was lower than that of the rural when compared in the same age group. 2. In the comparison of ADL scores between the elderly in urban and rural areas, there was no statistically significant difference. The IADL score of the rural elderly were higher than that of the urban elderly and there was a statistically significant difference. 3. In the comparison of ADL & IADL scores according to the self rating score for health status, there was a statistically significant difference among health status levels.

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Space arrangement Analysis of Unit Care Facility in Japan - 5 Case Study in Tohoku Rural Area - (일본 유니트형 노인요양시설의 기능별 공간구성 분석 - 동북지방 농촌지역 5곳 사례를 중심으로 -)

  • Nam, Yun-Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.20 no.3
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    • pp.37-45
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    • 2018
  • There are many advantages to unit-care welfare facilities' care services for the elderly in Japan. The field research was conducted after holding interviews with employees at five elderly welfare facilities in Japan. This research analyzes the space arrangement of unit-care welfare facilities in Japan's Tohoku rural area. The purpose of this study is to provide design data on the space arrangement of a unit-care facility for Korea. The results of research are as follows. 1. Cafes, restaurants, and stores were operated in the elderly welfare facilities, which were open to the general public as well. Therefore, local residents frequently visited. 2. The kitchen, living rooms, private bedrooms and construction of the elderly welfare facilities were similar to that of normal residential houses. 3. The event hall is conveniently located at the center of the facility. 4. It was easy to understand the health status of the elderly by having a health office in the open living room. 5. There were open spaces which are frequently used by the homebound elderly, including room rehabilitation, daycare and short term residence. The above results will be used for space planning data in Korean unit-care facilities.

The Geriatric Care Workers' Role Care for Elderly of Sanatorium in Korea

  • Kim, Kyung-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.11
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    • pp.105-110
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    • 2017
  • This paper is to research the difference of care workers' role in Sanatorium between urban and rural areas. Interviews have been conducted with 100 care managers with structured questionnaires in community care settings. The findings of the study are as follows. In the analysis of working with carers a care manager acting as a counsellor in rural was required rather more than any other role in working with clients' carers. In working with formal and informal networks, an administrative specialist role was also important in both areas. With resource management, there were some regional variances between rural and urban. In the urban area, a care managers as a coordinator was more required than as a broker. In the rural area, a care manager as a broker, selecting service resources for elderly clients was the most suitable role. In conclusion, in general rural care managers' roles were similar to those of many core managers in urban area. Among the many possible roles of care managers that effective continuity of care is to be provided for elderly clients in community care, two have been specified as essential roles. The first is the role of care managers that provides coordination and integration of services at the clients' levels as a care manager as an implementer, a linkman, counsellor. The second is at the system level which is possible role for coordination and linkage of programs as a characteristics of care managers, task with formal & informal network, community resources, available residential & NHS resourcesw.

(Community Care Preparation) Identification of Musculoskeletal Problems for the Elderly in Rural Areas and Presentation of Regional and Inter-university Health Management Models

  • Sung-hak Cho
    • The Journal of Korean Physical Therapy
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    • v.35 no.2
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    • pp.37-42
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    • 2023
  • Purpose: Compared to cities, rural areas are in a medical blind spot and face difficulties in accessing medical services due to inconvenient transportation facilities, lack of medical facilities, and the heavy burden of medical expenses. This study was carried out to identify the problems relating to the musculoskeletal system of the elderly in rural and fishing villages, which are medically vulnerable areas, and sought to present a regionally differentiated healthcare model. Methods: The study was conducted in 80 elderly people in two rural villages and two fishing villages after seeking inputs regarding medically vulnerable groups in the Gyeongnam Province. Postural balance and muscle flexibility were assessed and postural evaluation was conducted to identify musculoskeletal problems and gait stability. Strength and range of motion for each body segment were assessed for evaluating functional motion. Results: The elderly in both rural areas showed forward head posture characteristics. The strength level of the elderly in both rural areas was higher than the average, but their flexibility and balance ability were lower than the average. Conclusion: The musculoskeletal problems of the elderly in rural and fishing villages in this study did not show regional characteristics according to the area of residence. However, overall flexibility and balance ability appeared to be reduced. Therefore, a new management model connecting the region and the university is necessary in preparation for the coming era of community care.

A Comparative Study on the Sport-for-all Participation and Life Satisfaction Between Rural and Urban Elderly (농촌 노인과 도시 노인의 생활체육참가와 생활만족도 비교)

  • Nam, Ji Ho
    • 한국노년학
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    • v.29 no.3
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    • pp.867-881
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    • 2009
  • This study's goal is to compare influencing factors to life satisfaction and sport participation of the elderly in the rural and urban area. And it is to provide basic information that is appropriate to the local peculiarity. In the research, we used the 2006 KLoSA, got the following result through the more than 60 years old 502 peoples in the rural area and 1129 in the urban area. There were significant differences of factors related to the life satisfaction between rural and urban elderly, and the most sport participants have higher life satisfaction than non-participants. Through the probit analysis, the result shows that significant factors affecting sport participation for the rural elderly are gender, age, working/retired, and for urban elderly, the education level and income are added. About the participation, there were also significant differences on the participation frequency for the rural elderly and on the participation hours for urban elderly. The significant factors of life satisfaction for rural elderly are the education level, subjective health, and sport participation, and for urban elderly were the education level, income, subjective health, and sport participation. Overall, it shows the urban elderly have higher life satisfaction than the rural elderly. The welfare system to improve the sports participation and life satisfaction needs the differentiated support reflecting the social demographic characteristics.

A study on the Food Behavior and Factors Influencing the Food Behavior of the Elderly Living in Incheon (인천광역시 노인의 식생활과 식생활 관련 인자 연구)

  • Chyun, Jong-Hee;Choe, Eun-Ok;Woo, Kyung-Ja
    • Journal of the Korean Society of Food Culture
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    • v.17 no.4
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    • pp.424-434
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    • 2002
  • Food habit, eating-out pattern, smoking and drinking habits of 814 elderly (aged over 60) living in Incheon were surveyed by questionnaire. The ratio of the elderly who have balanced meals at moderate amount was slightly higher in urban area. Urban elderly tended to have mild foods, while rural elderly preferred hot and salty foods. Score for food habit was higher in urban elderly and there was no difference between male and female elderly. Most urban elderly had their meal at the public facilities for elderly, while most rural elderly used general restaurant and public room for elderly. Korean foods were the most favorite menu when ate out. Ratio of elderly who have difficulties in chewing was 21.2 and 39.6% for urban and rural elderly, respectively. Many elderly, especially more than 70% of female elderly, prepared the meals for themselves. Rural elderly smoked and drank more than urban elderly and male elderly did more than female elderly.

Suicidal Ideation and Associated Factors of the Elderly According to Residence Area - Focusing on the Comparisons between Urban and Rural Areas - (거주지역별 노인의 자살생각과 관련요인 - 도시와 농촌의 비교 -)

  • Mun, Young-Hee;Im, Mee Young
    • Journal of Korean Public Health Nursing
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    • v.27 no.3
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    • pp.551-563
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    • 2013
  • Purpose: This study was conducted in order to investigate the incidence and associated factors of suicidal ideation among the elderly according to residence area. Methods: This cross-sectional study used secondary data from the 2011 Korean National Health and Nutrition Examination Survey (KNHANES V-2). A representative sample of 1,464 men and women aged 65 and over was selected. Rao-scott $X^2$-test, multiple logistic regression models based on sampling scheme of the data were used. Results: Of the 1,464 respondents, 22.4% had experienced suicidal ideation during the past year. Higher incidence of suicidal ideation was observed in rural seniors (23.7%) than in urban seniors (21.1%). The incidence of suicidal ideation showed correlation with age, education level, depression, stress, lying in a sick bed, and current smoking status among elderly living in urban areas. However, among elderly living in rural areas, the incidence of suicidal ideation showed correlation with household income, depression, stress, and daily activity. Conclusion: Based on the results, nurses should manage effective and individualized nursing interventions for elders in planning suicide prevention programs with consideration for residence areas, because there were differences in the factors affecting suicidal ideation among elders according to residence area.

Macronutrient, Mineral and Vitamin Intakes in Elderly People in Rural Area of North Kyungpook Province in South Korea (경북 농촌지역 60세 이상 성인 및 노인의 열량영양소 및 무기질, 비타민 섭취조사)

  • 곽은희;이수림;윤진숙;이혜상;권정숙;권인숙
    • Journal of Nutrition and Health
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    • v.36 no.10
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    • pp.1052-1060
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    • 2003
  • Poor dietary habits and inadequate nutrient intakes are of concern in the elderly, even it is worse in rural areas. In the present study, we conducted the anthropometric measurement and the dietary intakes including macronutrients, minerals and vitamins to assess the nutrient intakes and nutritional risk in elderly people in rural kyungpook province in South Korea. Subjects (n = 168, mean age, 67.3 yrs) were interviewed using d general questionnaire and 3 days of 24-hours recall for dietary intake. Nutrient intakes were analyzed using CAN-pro soft program and compared to Korean RDA and nutrition reference values (NRV). The anthropometric measurement showed that the weight and the height of the subjects in the rural area were below the average of the same age of Korean elderly people. The energy and protein intakes were 85% and 90% of Korean RDA, respectively. The intakes of lipid, cholesterol and dietary fiber were 62%, 40% and 22% of NRV for Korean adults. Main sources for protein and lipid intakes came from the vegetable sources and this pattern was more prominent in female elderly people. Ca intake was half of Korean RDA (56%), while P intake was 132% of Korean RDA. For the antioxidant trace mineral (Fe, Cu, Mn, Zn, and Se) intakes, Fe and Zn intakes were 78% and > 103% of Korean RDA. Cu, Mn and Se intakes were > 113%, > 275%, and > 185% of Korean NRV. Thiamin, niacin and vitamin C intakes were above Korean RDA, but the intakes of vitamin A and riboflavin were 88% and 63% of Korean RDA, respectively. On summarizing the results of the present study, the elderly people in rural area consume less lipid, cholesterol, Ca, and dietary fiber. Ca intake is lower, while P intake is higher, and this would be the potential risk for bone health. Also, Na intake was high, which can be the potential risk for the cardiovascular disease prevailance. Vitamin intakes were fairly good status, excepting riboflavin. Antioxidant mineral intakes were much higher than Korean NRV, unexpectedly. The results suggest that the elderly people in rural area have inadequate intakes of protein, lipid, dietary fiber and Ca, which mainly should be supplied from animal products. Recommendations to increase diet variety would be emphasized for this nutritionally poor-conditioned subjects, specially including animal food products and high dietary fiber food.

A Comparative Study of Nutrient Intakes and Factors to Influence on Nutrient Intake between Low-income Elderly Living in Urban and Rural Areas (일부 저소득층 도시노인과 농촌노인의 영양소 섭취 및 관련변인 비교 연구)

  • 임영숙;조경자;남희정;이경희;박혜련
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.29 no.2
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    • pp.257-267
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    • 2000
  • This study was carried out to compare the nutrients intakes, factors to influence on nutrient intake and frequency of food group intake between the two gruops of elderly living in Yangcheon, Seoul(n=105) and in Yongin(n=159). The results obtained by cross-sectional survey using questionnaires were as follows. 1) The average age of the subjects was 71.9 and there was no significant difference in age and gender distribution according to the residential areas. 2) The intakes of energy, protein, Fe, vitamin A, niacin, thiamin, riboflavin, and vitamin C were significantly higher in the urban elderly than those of the rural elderly(p<0.05).3) The average daily intakes of energy, protein, Ca and Fe of the subjects were lower than those of the Korean RDAs in general and the rural elderly showed more severe deficiencies. 4) Individual nutrient intakes and food group intakes were related to the pocket money, number of different foods taken daily, education level, residential area, and the degree of exercise. These results suggested the needs of nutrition intervention for the low-income, rural elderly.

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The Associations of Household food Insecurity with Socioeconomic Status, Food Behaviors, Health Status and Nutrient Intake in the Elderly in Rural Areas (일부 농촌노인의 식품안정성과 사회경제학적 특성, 식생활, 건강상태, 영양소 섭취와의 관련성)

  • Choe, Jeong-Sook;Ji, Seon-Mi;Park, Young-Hee
    • The Korean Journal of Community Living Science
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    • v.20 no.1
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    • pp.19-32
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    • 2009
  • The purpose of this study was to examine household food insecurity and the associations of food insecurity with socioeconomic characteristics, food behaviors, health status and nutrient intake among elderly people in a rural area. This study included 191 elderly people (mean age = $72.0{\pm}7.4$) in Jeollabuk-do, Jangsu-gun. House food insecurity was measured using an adapted version of the USDA short form household food insecurity scale, and nutrient intake measured by a 24-hour dietary recall. Only 15.2% of the subjects were in food-insecure households, 84.8% of the elderly households were food-secure. The food-insecure households were significantly lower in the number of family, frequency of shopping, and perceived health status than the food-secure households. In addition, they had serious tooth problems and NSI (Nutrition Screening Index) scores. Food-insecure households were significantly lower in most areas of nutrient intake (energy, protein, fat, Ca, P, Fe, K, Na, Zn, Vit. $B_2$, niacin, Vit. E), and also lower in nutrient intake compared to dietary reference intake (energy, protein, P, Fe, K, Na, Vit. $B_1$, Vit. $B_2$, niacin, Vit. E). These results suggest that the household food insecurity measures used in this study were an important indicator of nutritional well-being among elderly persons in the rural area. Food insecurity should be considered an important issue to public health and food service programs should be expanded for food-insecure households in rural areas.

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