• 근관절건강학회지
• /
• 제22권2호
• /
• pp.57-66
• /
• 2015

Purpose: The purpose of this study was to evaluate the incidence of postoperative delirium in elderly patients with osteoarthritis surgery and identify risk factors for its development. Methods: This study enrolled 288 patients who underwent osteoarthritis surgery in a hospital between May and November 2014. Data were collected prospectively. The Nursing Delirium Screening Scale was used to detect delirium. Multivariable logistic regression analysis was used to identify independent risk factors for postoperative delirium. Patients were also followed for outcome. Results: Postoperative delirium developed in 42 patients (14.6%). Logistic regression analysis identified old age, low physical activity, antipsychotic agents, number of catheters, and intensive care unit admission as risk factors. Worse outcomes, including increased hospital mortality, reoperation, and discharge at care facilities, occurred in subjects who developed delirium. Conclusion: Osteoarthritis surgery in elderly patients was associated with a high incidence of postoperative delirium. The results of the this study regarding patient populations vulnerable to delirium should be taken into account so that such patients could be identified preoperatively or in the immediate postoperative period.

• 지역사회간호학회지
• /
• 제14권4호
• /
• pp.676-685
• /
• 2003

Purpose: To investigate the abilities to act and fear of falling in home-dwelling elderly. Methods: This study interviewed 351 home-dwelling elders residing in Seoul and Gyonggi-do using a Survey of Activities and Fear of Falling in the Elderly. Results: Of the 351 subjects, 203(57.8%) had activity restrictions. The main three activities that the subjects could not perform were going out when it is slippy, reaching something overhead and walking crowded places outside. According to general characteristics, performable activities were significantly fewer in subjects perceiving that their health status was low that those perceiving that their health status was high. On a scale of 3 points for fear of falling, the average score of the subjects was 1.46. The highest score of fear of falling was 2.62 for the activity of going out when it is slippery, next 1.87 for the activity of reaching something overhead. There was a significant inverse relationship between subjects' abilities to act and fear of falling. Conclusions: The significant variables associated with fear of falling were gender(female), educational background, economic status (low-income), and experience of falls during the last one year. Thus further study is necessary, focused on the vulnerable population in order to prevent falls and to reduce fear of falling.

• 지역사회간호학회지
• /
• 제25권3호
• /
• pp.217-224
• /
• 2014

Purpose: This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population. Methods: This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients. Results: In the regression model, diabetes knowledge (${\beta}=.322$, p<.001), exercise (${\beta}=.337$, p<.001), and experiences of diabetes education (${\beta}=.241$, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled. Conclusion: To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

• 국제물리치료학회지
• /
• 제12권2호
• /
• pp.2338-2344
• /
• 2021

Background: The therapeutic exercise method using kinesiology taping (KT) has been reported to be effective in activating the suprahyoid muscle in healthy adults. However, its applicability and effectiveness are not known to the physically vulnerable elderly. Objectives: To investigate the effects of kinesiology taping on the activity of suprahyoid muscles in community-dwelling elderly people. Design: Repeated measure design. Methods: We enrolled 23 healthy elderly adults (age range 60-75 years) with no history of neurologic disease. Participants performed five consecutive spontaneous swallowing actions at 5-second intervals under three conditions (KT with 80% stretch, placebo-KT, and non-KT. Activation of the suprahyoid muscles during swallowing in the three conditions was measured using surface electromyography (sEMG). In addition, a 0-10 numerical rating self-report scale was used to evaluate the required effort and the resistance felt during swallowing. Results: KT with 80% stretch were significantly higher in sEMG mean value, peak value, required effort, and resistance felt during swallowing compared to other two conditions (P<.05, all). KT with 80% stretch required the most effort during swallowing and, consequently, has a positive effect on increasing suprahyoid muscle activation. Conclusion: Our results could be taken into consideration in therapeutic exercise method for suprahyoid muscle in dysphagia rehabilitation.

• 융합경영연구
• /
• 제5권4호
• /
• pp.19-28
• /
• 2017

This study is aiming to suggest baseline date for the establishment of policy alternative to make healthy consumption life of the elderly through investigating and analyzing actual condition of consumption related with the awareness of health functional food such as purchase behavior and consumer's problems about health functional food. Under the assumption that the vitalization of health functional food market will become an important market in the present and in the future, the fundamental marketing information about elder consumers is more important than any other information that is essential for successful marketing to domestic corporations and senior policy experts. In addition, there was a fundamental significance to provide necessary basic data for health promotion of the elderly by offering information about rights and interests of elder consumers who are members of vulnerable social group or right choice of purchasing or intake. The limitations of this study are as follows. First, the subjects were selected who live in Gangwon-do with the age of 60 and over due to the limitation of sampling, and that might be shown local characteristics. Therefore, the study result could not be generalized on behalf of all elderly in Korea and it is difficult to apply the result to more segmented market. To solve this problem, studies containing sampling by regional groups might be needed.

• 한국정보통신학회:학술대회논문집
• /
• 한국정보통신학회 2022년도 추계학술대회
• /
• pp.520-522
• /
• 2022

초고령화사회에 접어들면서 독거노인의 수도 증가하고 있고 따라서 고독사도 증가하고 있다. 따라서 본 논문에서는 디지털 기술을 활용한 독거노인을 위한 알리미 서비스를 살펴보고 다음과 같은 방안을 제언한다. 첫째, 기존 유선으로만 이루어지는 응급 상황 여부에 대해서 센서 감지, AI 감성 로봇 활용 등으로 디지털 정보 수집 및 상황 파악이 이루어져야 한다. 둘째, 분기별 1회 이루어졌던 직접 방문 시에는 장비 점검 및 디지털 상황을 검토해야하고 유선으로 이루어졌던 월 2회 간접 방문을 디지털 기기를 활용해 확대하도록 한다. 셋째, 독거노인, 장애인 등의 안전 확인 곤란 또는 응급상황 발생시 신속한 대처를 위해 디지털 응급안전망체계를 구축한다. 또한 마지막으로 이러한 디지털 시스템을 구축하기 위해 이용자 교육이 이루어져야 하며 신규이용자에게 장비사용 교육을 하는 것은 물론, 정기적으로 재교육이 이루어지는 것이 효과적일 것이다.

• 한국콘텐츠학회논문지
• /
• 제21권9호
• /
• pp.704-713
• /
• 2021

본 연구의 목적은 지역사회에서 감염병 발생 및 확산에 영향을 미치는 감염병 취약지표의 상대적 가중치를 평가해보는 것이다. 이를 위해 선행연구 및 사례 고찰을 기반으로 감염병 취약지표를 확산취약시설, 감염취약 계층, 사회적 취약여건, 대응능력 4개의 부문으로 분류한 후, 각 부문별로 총 24개의 세부지표를 선정하였다. 그 후 22명의 전문가를 대상으로 계층분석과정(AHP)을 이용하여 각 지표들 간의 상대적 가중치를 산정하였다. 분석결과, 부문별 가중치는 확산취약시설이 가장 높게 나타났으며, 부문별 지표와 세부지표를 모두 고려한 종합 가중치는 병상확보율(1순위), 종교시설 밀도(2순위), 의료인력 비율(3순위), 고령자 비율(4순위), 유흥업소 밀도(5순위) 순으로 나타났다. 이러한 결과는 지자체의 감염병 대응정책 수립에 필요한 근거자료를 마련하는 데에 활용 가능할 것이다.

• 농촌계획
• /
• 제14권3호
• /
• pp.27-36
• /
• 2008

Rapid increase of aging population and progressed migration from rural areas to urban areas have caused deficit of bus routes in local cities. This increasing burden of operation deficit affects the movement strategy of the transportation vulnerable who are using buses. Along with dramatically increased aging in Korea, there is an urgent need to implement a new method which can guarantee mobility rights of public transportation especially for the elderly. This study focuses on the case of Demand Responsive Transit(DRT) system that has been operating in America, Europe, Japan, etc. Kimhae(Sangdong-myeon and Saengnim-myeon) is selected as a study area. This study investigated the possibility of adopting DRT system on the perspectives of the consumer and provider by the analysis of traffic condition such as the number of transportation vehicles, present bus service and regulation and conduct of questionnaire survey which includes present bus service and DRT system and so on. In conclusion, DRT system in Kimhae city will reduce transport cost, increase affordability through the betterment of service level and secure mobility rights for the transportation vulnerable.

• 한국사회복지학
• /
• 제63권2호
• /
• pp.261-289
• /
• 2011

본 연구는 노인일자리사업이 노인의 사회적 자본 변화에 어떠한 영향력을 미치는지 규명하여 노인일자리사업의 효과성을 사회적 자본 변화를 통해 평가하고자 하였다. 노인일자리사업에 참여한 노인 중 사회적 자본이 변화하였을 때, 사회적 자본의 변화를 유형별로 나누어 참여노인의 인구사회학적 특성과 노인일자리사업 특성을 변화유형별로 비교해 보았다. 이는 노인일자리사업 참여가 노인 삶을 변화시키는데 직 간접적인 역할을 할 것이라는 실증적 자료를 제공할 수 있다. 노인일자리사업에 참여한 노인 중 사회적 자본이 변화하였을 때, 생활상의 어려움에 있는 노인층에서 사회적 자본 중 신뢰, 관계망, 사회참여가 모두 증가하였고, 노인일자리사업 참여가 생활상의 어려움을 가진 노인층에게 사회적 자본 증가의 효과를 주는 것으로 볼 수 있다. 이들 사회적 자본 중 노인 일자리사업에 참여한 노인은 신뢰가 가장 많이 증가하였다. 특히 생활상의 어려움에 있는 노인층과 생계비를 벌기 위해 참여한 노인층에서 사회적 자본 중 신뢰, 관계망, 사회참여가 모두 증가한 것을 볼 수 있으며, 노인일자리사업이 생활상의 어려움을 가진 노인층에게 사회적 자본 변화의 효과가 있는 것으로 나타났다. 모든 일자리유형에서 사회참여는 상승하였고, 생계를 위해서 참여한 노인층이나 생활상의 어려움이 있는 노인층에서 특히 사회참여가 증가하였다. 짧은 참여기간 동안의 조사로 나타난 결과이기도 하지만, 궁극적으로 노인의 노동참여를 통한 사회참여는 보호적 시장에서 이루어지는 것이 효과적이었다고 볼 수 있다.

• 시큐리티연구
• /
• 제36호
• /
• pp.469-492
• /
• 2013

전반적인 사회의 고령화 추세에 따라 민간경비에 종사하는 노인근로자의 비중은 갈수록 증가하고 있다. 그러나, 노인경비원에 대한 선행연구는 아직 많지 않고, 특히, 노인경비원이 폭력피해를 당할 위험에 상당 부분 노출되어 있어 그들의 폭력피해 경험에 대한 실태조사가 시급하다. 본 연구는 전국의 55세 이상 노인경비원을 표본으로 추출하여 그들이 경험한 신체적 언어적 폭력피해에 대해 설문조사를 시행하였다. 또한, 폭력피해 경험의 여부가 노인경비원들이 인식하는 직무스트레스의 수준에 영향을 주는지 알아보았다. 결과에 따르면, 설문에 참여한 노인경비원들은 신체적 폭력피해보다 언어적 폭력 피해를 더 많이 경험한 것으로 응답하였고, 직장 내 상사나 동료보다는 고객으로부터의 폭력이 더 많은 것으로 나타났다. 직무스트레스와 관련하여 언어적 폭력피해를 경험한 노인경비원이 그렇지 않은 경비원에 비해 직무스트레스를 더 많이 느끼고 있었다. 신체적 폭력피해의 경험은 유의미한 결과를 보이지 않았다. 노인근로자를 대상으로 행해지는 신체적 언어적 폭력을 감소시킬 수 있는 제도적 장치의 마련이 필요하다.