• Title/Summary/Keyword: The Independent Elderly people

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Determinants influencing oral examination experience behavior of the elderly (노인의 구강검진 실천 행동에 영향을 미치는 결정요인)

  • Kim, Min-Young;Jang, Yun-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.5
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    • pp.585-594
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    • 2021
  • Objectives: This study aimed to understand the effect of factors, possibilities, and desires on oral examination experience behavior of the elderly using raw data from the 2017 Community Health Survey. Methods: Hierarchical logistic regression analysis, an analysis method that controls the input order of a series of independent variables, was performed for 67,835 senior citizens aged 65 and older. Results: In terms of predisposing factors-in women, the higher the level of education, the higher the oral examination practice rate, and the lower the oral examination practice rate in divorce and bereavement among those aged 75 years or older. Regarding enabling factors, the lower the income rating, the higher the oral examination experience rate in religious and social participants as well as, leisure and charity participants, and the lower the oral examination experience rate in the natural environment. Regarding the need factors, the oral examination practice rate was high when the subjective oral health level was recognized as good. Conclusions: As a result, Anderson's model confirmed that various factors affect oral examination experience behavior, and institutional support for policy consensus is needed to promote oral examination experience behavior in older people in various directions.

Influence of the Caregiver Burden on the Oral Health-related Quality of Life of the Spouse of an Elderly Person with Dementia at Home (재가 치매노인 배우자의 부양부담감이 구강건강관련 삶의 질에 미치는 영향)

  • Sung, Kiwol
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.429-443
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    • 2020
  • Purpose: This study examined the influencing factors of caregiver burden on the oral health-related quality of life of the spouse of an elderly person with dementia at home. Methods: The participants were 115 spouses of dementia patients registered at dementia safety centers in five health centers in D city. Data were collected from June through December in 2019, using questionnaires of Oral Health Impact Profile (OHIP-49) and Burden Interview (BI). The data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression analysis using the IBM SPSS Statistics 25.0 Program. Results: A negative correlation was observed between the oral health-related quality of life and caregiver burden (r=-37, p<.001). The caregiver burden (β=-.28, p=.001), subjective health status (β=.39, p<.001), and dental clinic visit (β=-.25, p=.002) explained 33.0% of the variance in the oral health-related quality of life. Conclusion: The development of nursing care for spouses of dementia patients will be needed to reduce the caregiver burden and enhance subjective health status and dental clinic visit, which influence the oral health-related quality of life of spouse of elderly people with dementia at home.

An Empirical Study on Factor Associated with Mood Disorders in Elderly: Focusing on the Influence of Community Characteristics (노인 기분장애 영향요인에 관한 실증적 연구: 지역사회 특성의 영향을 중심으로)

  • Chang, Miseung;Shim, Ik Sup
    • Health Policy and Management
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    • v.27 no.2
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    • pp.177-185
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    • 2017
  • Background: The mental problems of the elderly are at issue as a serious social phenomenon. The purpose of this study is to identify risk factors affecting the mood disorders of the elderly. Methods: The subjects were 1,779,236 aged ${\geq}65$ and participated in health screening. Dependent variable was mood disorders. Independent variables were consisted of community level (regional deprivation index and healthcare resources) and individual level (sex, age, insurance type, disability, smoking, alcohol, physical activity, body mass index, and healthcare utilization). Multilevel logistic regression was performed. Results: At the individual level, women, employed insured, severely disabled people, heavy alcohol drinkers, high-intensity physical activity, body mass index, and patients who had chronic disease and severe disease were significantly associated with mood disorders. As the age has increased, it has let increase of mood disorders. At the community level, as the regional deprivation index has increased by 1, mood disorders has been increased by 1.005 times. The intra-class coefficient was 7.04%. Conclusion: We found individual and community level factors are associated with mood disorders. Systematic approach is essential to reduce mood disorders.

Dietary Habits and Factors Associated with Depression in Yangpyeong-gun Elderly (양평군 노인에서 우울 지수, 영양불량과 식생활 실천 요인)

  • Hee Jung Park;Jae Young Lee;Wookyoun Cho
    • Journal of the Korean Society of Food Culture
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    • v.38 no.6
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    • pp.381-391
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    • 2023
  • This study was conducted to analyze relationships between depression indices, mini nutritional assessment scores, and nutritional quotients among 80 elderly in Yangpyeong-gun and to identify factors that help prevent depression and malnutrition. Nutrition assessment scores were low in the high-risk group (PHQ-9 score ≥10), and nutritional quotient scores were lower in the high-risk group than in the normal group (PHQ-9 score ≤4). Interestingly, the consumption frequencies of fruits, eggs, and nuts were low in the high-risk group, and subjective health awareness, dental condition, and sleep were poorer. The total PHQ-9 score was correlated with malnutrition, body mass index, calf circumference, weight change, independent daily living, reduced meal amount, water intake, and the need for help when eating. Analysis of correlations between items of the PHQ-9 and nutritional status evaluation indices showed that a self-perceived feeling of depression, low energy, difficulty controlling sleep or appetite, negative thoughts (e.g., failure, disappointment), and difficulty concentrating were negatively correlated with total nutritional status scores. These results show that attention is required when food or water intake decreases and that deviation from normal sleep and appetite cycles flags the need to prepare guidelines to prevent depression.

Effect of Thought s of Suicide of Elderly that Care for a Chronic Invalid (노인의 자살생각에 영향을 미치는 생태체계요인 -중증만성질환자 돌봄 노인을 중심으로-)

  • Choi, Sin-Ae;Ha, Kyu-Soo
    • The Journal of the Korea Contents Association
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    • v.12 no.6
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    • pp.265-279
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    • 2012
  • In this study, I tried to find out the ecosystem factors which influence suicide thoughts of elderly that care for a chronic invalid. Ecosystem factors are consist of personal system, familial system and social system, tried to analysis ecosystem factors with characteristics of social population that influence suicide thoughts. For the study, I collected 274 samples from people of 55 year-old care a chronic invalid adults who reside of in Gyeonggi-do. I used factor analysis, reliability analysis, multi-regression, t-test, ANOVA with SPSS 18.0. The results are as follows. First, suicide thoughts had affected by personal characteristics and the duty of supporting selected independent variable. Second, familial system as familial characteristics and familial support had a strong influence on suicide thoughts by long-term care and deficient familial support. Third, the result of study, social support and participation of social activities apply as independent variable then every factors of social support are negative influence but participation of social activities are not influence.

Effects of a Five Times Sit to Stand Test on the Daily Life Independence of Korean Elderly and Cut-Off Analysis

  • Nam, Seung-Min;Kim, Seong-Gil
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.4
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    • pp.29-35
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    • 2019
  • PURPOSE: The aim of this study was to provide the standard value of the Five Times Sit to Stand Test (FTSST) measurement on the daily life independence of the elderly in Korea and examine the effects of this test on their daily lives. METHODS: This study was conducted on elderly people over 65 years of age living in Gyeongsangbuk-do, Korea. FTSST was performed while sitting position on a chair. The subjects were classified into independent and dependent living groups according to their lifestyle, and their influence was then examined through logistic regression analysis. To determine the usefulness and cut-off value of the FTSST, the analysis was performed using the ROC curve. RESULTS: The elderly were more likely to live in a group rather than independently as the FTSST time increased (p<.05) (OR=1.098). The area of the lower part of the ROC curve was .707, and as the FTSST increased, a subject was more likely to live in a group rather than independently (p<.05). The cut-off value was assigned to the point where both the specificity and sensitivity were at the coordinates. The sensitivity and specificity were .626 and .753, respectively at 15.62 seconds. CONCLUSION: The elderly in Korea are more likely to live a group-dependent lifestyle than live independently; the likelihood of this outcome is increased further for every additional second beyond 15.62 seconds. The loss of independence of daily life could be predicted based on the status of a subject's lower leg strength using the FTSST.

A Study on Influence of the Life Satisfaction for the Elderly Women with Disabilities -Focusing on Moderation Effect of Preparation for the Later Life Factor - (고령여성장애인 삶의 만족도에 관한 연구 - 노후준비 조절효과를 중심으로 -)

  • Park, Ju Young
    • 재활복지
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    • v.17 no.4
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    • pp.53-77
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    • 2013
  • The purpose of this study was elderly women with disabilities to increase life satisfaction from the recognition that were original goals. Factors affecting life satisfaction confirm, and in influencing aging affects looked ready. In the case of non-disabled people was life satisfaction showed a link between preparation for the later life. Expected life satisfaction of elderly women with disabilities were equally applicable whether verification was carried out. The results of this study were as follows: First, the difference in life satisfaction according to demographic factors, psychological factors, health factors, economic factors, social factors were all of the factors in the elderly group of women with disabilities in accordance with the life satisfaction were different. Second, the factors that influence the life satisfaction for the elderly women with disabilities were psychological factors, health factors, economic factors, social factors and demographic factors. Third, in relation to independent variable and dependent variable, preparation for the later life factor was found operating as moderation variable in relations between level of economic status, chronic diseases. Based on this results, the implications for future studies on women with disabilities were discussed.

Oral care status and elderly oral health knowledge of care workers and caregivers with regard to patients with dementia (요양보호사와 간병인의 치매환자에 대한 구강관리실태 및 노인 구강보건지식)

  • Lee, Kyeong-Hee;Choi, Yoon-Young;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.1
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    • pp.79-91
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    • 2019
  • Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

The Impact of Medical Utilization on Subjective Health and Happiness Index and Quality of Life according to the Economic Level of the Elderly (노인의 경제적 수준에 따른 의료이용이 주관적 건강수준과 행복감 지수 및 삶의 질에 미치는 영향)

  • So, Kwon-Seob;Hwang, Hye-Jeong;Kim, Eun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.544-552
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    • 2019
  • The purpose of this study was to find concrete measures to improve the subjective health level, happiness and quality of life of the elderly according to economic level and to propose social and policy alternatives accordingly. As a research method, 63,929 elderly people aged 65 or older were surveyed using the Community Health Survey (Indicator Bank) _v09, and the frequency of health use by economic level, subjective health level, euphoria and quality of life Analysis and Chi square analysis and independent t-test. Multi variate logistic regression analysis was performed with subjective health level as a dependent variable and multiple linear regression analysis was performed to determine the factors affecting euphoria and quality of life. The results of the study are as follows. In the case of recipients, medical use was lower than that of non-recipients, lower education level, female age of 75 years or older, and less stress, In case of present or past recipients, the result of non - receipt increased as the subjective health level was worse, and the non - recipient had higher euphoria and quality of life. As a result, there is a need for alternatives to increase opportunities for medical use among the recipients, with particular attention being paid to women and elderly people over 75 years old. It is expected to be used as a basic data to effectively improve the health promotion, happiness and quality of life of the elderly people of low income group.

An Approach to Survey Data with Nonresponse: Evaluation of KEPEC Data with BMI (무응답이 있는 설문조사연구의 접근법 : 한국노인약물역학코호트 자료의 평가)

  • Baek, Ji-Eun;Kang, Wee-Chang;Lee, Young-Jo;Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.136-140
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    • 2002
  • Objectives : A common problem with analyzing survey data involves incomplete data with either a nonresponse or missing data. The mail questionnaire survey conducted for collecting lifestyle variables on the members of the Korean Elderly Phamacoepidemiologic Cohort(KEPEC) in 1996 contains some nonresponse or missing data. The proper statistical method was applied to evaluate the missing pattern of a specific KEPEC data, which had no missing data in the independent variable and missing data in the response variable, BMI. Methods : The number of study subjects was 8,689 elderly people. Initially, the BMI and significant variables that influenced the BMI were categorized. After fitting the log-linear model, the probabilities of the people on each category were estimated. The EM algorithm was implemented using a log-linear model to determine the missing mechanism causing the nonresponse. Results : Age, smoking status, and a preference of spicy hot food were chosen as variables that influenced the BMI. As a result of fitting the nonignorable and ignorable nonresponse log-linear model considering these variables, the difference in the deviance in these two models was 0.0034(df=1). Conclusion : There is a lot of risk if an inference regarding the variables and large samples is made without considering the pattern of missing data. On the basis of these results, the missing data occurring in the BMI is the ignorable nonresponse. Therefore, when analyzing the BMI in KEPEC data, the inference can be made about the data without considering the missing data.