• Title/Summary/Keyword: Vulnerable elderly

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Oral health status of institutionalized elderly in Korea (노인장기요양시설 입소노인의 구강건강실태와 시사점)

  • Han, Dong-Hun;Kim, Nam-Hee;Ko, Seok-Min;Kwak, Jeong-Min;So, Jong-Seop;Lee, Seong-Keun;Lim, Soon-Ryun;Hwang, Ji-Young;Lee, Hye-Ju;Choi, Ho-Joon;Paek, Ji-Hyun;Kim, Yeon-Ju
    • The Journal of the Korean dental association
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    • v.53 no.10
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    • pp.688-695
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    • 2015
  • Purpose: The institutionalized elderly have placed the most vulnerable state, and the report about the oral health status of the institutionalized elderly was scarce. The aims of the current study were to investigate the oral health status of institutionalized elderly. Materials and methods: The survey of the oral health status was carried out on 487 institutionalized elderly from 4 longterm care facilities of Seoul metropolitan city, Gyunggi province, and Gangwon province in Korea. Results: The prevalence of dental caries, root caries, and dental calculus of the institutionalized elderly was 19.2%, 15.3%, and 23.7%, respectively. The percentage of edentulism among the institutionalized elderly was 26.2%. Those who had poor oral hygiene and tongue coating were 43.9% and 90.5%, respectively. The percentages wearing complete and removable partial denture on maxilla were 12.8% and 3.3%, respectively. The percentages wearing complete and removable partial denture on mandible were 7.8% and 5.6%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on maxilla were 29.7% and 27.2%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on mandible were 24.5% and 30.9%, respectively. Conclusion: The oral health stuatus of institutionalized elderly was poor. For the oral health promotion of elderly in longterm care facilities, it is essential to educate nurses and caregivers about the importance of the oral health and oral hygiene method.

Risk Issue Analysis of Disaster Vulnerable Groups -Focusing on Cases of Children and Pregnant Women (재난취약계층의 위험이슈분석 -어린이, 임산부 사례를 중심으로-)

  • Kim, Shin Hye;Kwon, Seol A
    • The Journal of the Korea Contents Association
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    • v.21 no.7
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    • pp.291-303
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    • 2021
  • In the modern society, the number of people in disaster vulnerable groups is rapidly increasing such as the elderly, the disabled, foreigners, and children. The common characteristics of the groups vulnerable to disasters are that they live in residence types that are exposed to disasters because they are impoverished and if they are exposed to disasters, recovery is a slow process. The purpose of this study is to identify the new risk issues by performing risk issue analysis on the targets of disaster vulnerable group and provide base data for the development of the policies. For the research method, this study centered on the cases of children and pregnant women out of the disaster vulnerable groups and focused on the issue data of social media throughout the past 10 years ('10~'19) and performed social network analysis. As a result, first, the development of the issue showed relevance in the occurrence of specific cases. Second, the awareness about the types, targets, and management method of crisis management was analyzed. Third, an analysis was performed on the sentiment words that considered the solution measures of risk issues or the characteristics of the targets and it was analyzed that there were word that triggered negative emotions. Therefore, it is anticipated for the base data to be used for the government and also for the local government to build an effective crisis management system of the rapidly changing disaster environment on the basis of the sentiment analysis performed on the people of the nation as well as public awareness.

An Exploratory Study on the Analysis of Characteristics of Pedestrian Accident Vulnerable Points using Road View: Focusing on Sasang-gu, Busan (로드뷰를 활용한 보행자 사고 취약 지점 특징 분석 탐색적 연구: 부산광역시 사상구를 중심으로)

  • Dong Kyu Lee;Jae Seon Kim;Kyung Soo Pyo;Min Kim
    • Journal of the Society of Disaster Information
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    • v.20 no.2
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    • pp.351-368
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    • 2024
  • Purpose: In general, traffic accidents occur sporadically, so there are various limitations in terms of time and cost when conducting field investigations to prepare prevention and prevention measures. In particular, with the transition to a non-face-to-face society after the COVID-19, there is a greater need to prepare a replacement for field surveys. Therefore, in this study, Roadview provided by various websites was used as an alternative to field surveys in Sasang-gu, Busan City. The possibility was evaluated. Method: The research method was to extract vulnerable points for traffic accidents that occurred between 2016 and 22 and analyze road views based on the field survey evaluation items provided in the Traffic Safety Diagnosis Guidelines. Result: The main result was that Sasang-gu was most vulnerable to accidents involving elderly pedestrians at Sasang-ro, Daedong-ro, and Hakjang-ro. As a result of a detailed analysis of vulnerable points through Road View, Sasang-ro needed control of commercial vehicles and protection of the transportation vulnerable in the market commercial area. Daedong-ro was vulnerable to illegal on-street parking and slope merging sections, and Hakjang-ro was vulnerable to roads that were prone to speeding. When evaluating the possibility of replacing Roadview's field survey based on the results of this analysis, Roadview was able to effectively evaluate most items, such as separation of sidewalks and the location and spacing of safety facilities. However, there were limitations in items such as actual measurement performance. Conclusion: In other words, the road view can replace most field surveys, and the actual measurement evaluation items can be judged to be useful as auxiliary data, resulting in time and cost savings and high efficiency.

Convergent effects of oral health behaviors on number of remaining teeth of the elderly welfare recipients (기초 수급 노인들의 구강건강 행태가 잔존 치아 수에 미치는 융복합적 영향)

  • Cho, Min-Jeong;Park, Eui-Jung;Shin, Hae-Eun
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.537-544
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    • 2016
  • This study was to investigate their relevance between oral health behaviors and number of remaining teeth of the elderly welfare recipients through the fluoride and scaling of the business. Researcher collected 660 subjects over 60 elderly welfare recipients investigated self-administered survey and use denture and number of remaining teeth though oral examination. Increasingly age number of teeth remaining reduced, there is a difference on the number of remaining teeth according to gender, age, the use of oral hygiene products, self diagnosis oral condition, brushing after lunch and showed significant difference(p<0.05). The remaining number of teeth can be prevented by attention and efforts of subjects. Therefore, we investigated convergent effects of oral health behaviors on number of remaining teeth of the elderly, I hope that oral health care program continually provides expansion of preventive treatment and to maintain the provision of health care about vulnerable group.

Relationship between Single-households Elderly Spatial Distribution and Public Transport Accessibility for Rural Social Service Improvement (농촌 사회서비스 정책 지원을 위한 농촌 고령일인가구 분포와 대중교통 접근성의 관계 분석)

  • Park, Ro-Un;Park, Mee-Jeong;Shin, Min-Ji;Kim, Sang-Bum
    • Journal of Agricultural Extension & Community Development
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    • v.26 no.2
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    • pp.99-111
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    • 2019
  • This paper aims to analysize the regional disparity of rural life service. In other words, analyzing the spatial distribution of the single-households elderly and service accessibility to public transportation, and the relationship between them in rural. The results of this study are as follows. First, there is a high concentration of the single-households elderly in Gyeongsangbuk-do and Jeollanam-do, and the distribution of them shows a tendency to cluster locally. Second, the vulnerability area of public transportation are concentrated on the myeon area. Third, The above-average proportion of vulnerable single-households elderly in Gyeongsangbuk-do and Jeollanam-do are concentrated on the myeon area. This result show that there is a positive correlation and high values are concentrated. This paper is expected to contribute to the regional development projects and effective implementation of rural polices.

Psychological and Physical Effects of 10 Weeks Urban Forest Therapy Program on Dementia Prevention in Low-Income Elderly Living Alone

  • Lee, Hyun Jin;Son, Sung Ae
    • Journal of People, Plants, and Environment
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    • v.21 no.6
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    • pp.557-564
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    • 2018
  • Along with the aging society, the prevalence of dementia is also increasing. Dementia causes short-term memory loss as well as difficulties of performing daily activities and gradually causes suffering of the patients and their family. In spite of various programs for prevention of dementia of older people are being implemented, there is a lack of developing natural-based program for physical and mental health promotion. Therefore, it is necessary to develop programs for the elderly living alone who are more vulnerable to dementia because of their social and economic isolation. The purpose of this study was to develop a natural-based program and investigate the effects of 10 weeks forest therapy program for dementia prevention to improve the psychological and physical health of the elderly living alone. The experimental subjects were 30 elderly (aged 65 or older) and 31 elderly participated in control group. The Stress response, depressive symptoms, weight, body mass index (BMI), fat mass and muscle mass were measured for pre and post test. The results showed that the experimental group showed subjective stress relief (t=5.249, p=.000), improvement in symptoms of depression (t=4.152, p=.000), and decreases in weight (t=2.686, p=.012), BMI (t=2.629, p=.014) and fat mass (t=2.918, p=.007) after the forest therapy program. The experimental group showed lower stress reactions(t=-7.185, p=.000) and less depressive symptoms (t=-5.303, p=.000) than control group after participating the program. These results suggest that periodic forest exposure can help having less stressful and depressive status than non-forest exposure and the forest therapy program can reduce participants' psychological and physical risk factors of dementia.

Effects of the Forest Healing Program on Depression, Cognition, and the Autonomic Nervous System in the Elderly with Cognitive Decline

  • Lim, Young-suwn;Kim, Jaeuk;Khil, Taegyu;Yi, Jiyune;Kim, Dong-jun
    • Journal of People, Plants, and Environment
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    • v.24 no.1
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    • pp.107-117
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    • 2021
  • Background and objective: The purpose of this study is to investigate the effect of a forest healing program in terms of depression, neuropsychological and physiological benefits for the elderly. Methods: For this purpose, we developed a forest therapy program for the elderly who are vulnerable to dementia and conducted a total of 11 sessions of forest therapy activities in a forest once a week. We measured the changes in depression, resting-state Electroencephalography(EEG) and heart rate variability (HRV) before and after the program. There were 60 subjects aged over 65 yesrs old. 30 subjects participated in the forest therapy program, and the other were in the control group. The Geriatric Depression Scale was used to measure the level of depression, neuroNicle FX2 (Laxtha, Korea) was used to measure the resting-state EEG, and photoplethymogram (ubpulse T1, Laxtha, Korea) was used to measure the HRV. Results: The results showed that the depression index of the experimental group improved with statistical significance after the program (experiment group = 3.267 decrease of the mean). In the EEG measurement, the alpha-peak frequency at rest (experimental group = 0.227 Hz increase of the mean) was improved (mean increase = 0.23 in the experimental group, p < .05). The high frequency of HRV, which represents the parasympathetic nerve activity of the body's autonomous response, was also significantly improved (mean increase = 0.396 in the experimental group, p < .05). Conclusion: The results suggest that the forest therapy program can reduce the cognitive, psychological and physical risk factors of dementia for the elderly at risk of cognitive decline. Therefore, forest therapy activities may be suitable for the prevention of dementia in the elderly.

The Effects of the Stress of Elderly People Living Alone in Urban Areas on the Quality of Life: With a Focus on the Mediating Effect of Social Support (도시지역 독거노인의 스트레스가 삶의 질에 미치는 영향 : 사회적 지지의 매개효과를 중심으로)

  • Gim, hyoung-gee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.443-451
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    • 2017
  • The purpose of this research is to examine ways to improve the quality of life of elderly people living alone in urban areas by identifying their stress, social support, and quality of life as well as analyzing the relationships between these factors. In this research, a questionnaire survey was conducted for approximately two weeks including 232 elderly people aged 65 years and above who were using 10 senior welfare centers in the Seoul and Gyeonggi regions. The results of the analysis based on the collected data showed that of the stresses experienced by elderly people living alone in urban areas, the stresses of health, family, and psychological and social stresses had negative effects on social support and quality of life. Also, it was found that the social support of elderly people living alone had positive effects on the quality of life. Additionally, it was found that social support had a mediating effect in the relationship between stress and quality of life of elderly people living alone in urban areas. In other words, social support plays a buffer role in enhancing the quality of life regarding health, family, economy, and psychological and social stresses. This research has significant implications in that it was conducted on elderly people living alone, since elderly people living alone are not only under more stressful circumstances in a vulnerable environment than other seniors but also their quality of life is much lower. The implications of this research are that, from a social point of view, these elderly people living alone should no longer be neglected and that differentiated policy interventions for elderly people living alone is required.

A Study on the Improvement of Emergency Safety System as Social Protection System - Focusing on Alone Elderly and Severely Person with Disabilities - (사회적 보호체계로서의 응급안전시스템에 대한 개선방안 연구 -독거노인·중증장애인을 중심으로-)

  • Heo, Soo Kyung;Lim, Soo Jeong;Jeong, Jong Hwa
    • 재활복지
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    • v.20 no.4
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    • pp.31-54
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    • 2016
  • The purpose of this study is to explore the improvement method of the emergency safety system as a social protection scheme for the elderly living alone with severe disabilities. The study was conducted by randomly choosing three regions in the metropolitan area (Jongno-gu, Seoul), the small-medium city (Yongin-si, Gyeonggi-do) and the rural area (Geochang-gun, Gyeongsangnam-do) among 17 cities and counties nationwide. The study method is based on the interview form of the structured questionnaires with city officials, county officials, and center operators. According to the results of the interview analysis, it was recognized that there was a need for an emergency safety system for the elderly living alone with severe disabilities. In spite of this necessity, there were problems about publicity for the discovery of victims of the blind spot in welfare, about inconvenience due to frequent malfunctions of the emergency equipment, about insufficient awareness of the security of the emergency officials and about supply and demand of manpower for 24-hour monitoring service. In order to improve the effective operation of the emergency safety system, it was the most urgent issue to formulate the legislation for responding to the crisis management of the vulnerable. A suggestion of this study is to build a safety system in which one-stop service is provided for the realization of compact welfare through the establishment of a MOU for linkage with community organizations, the full inspection of emergency equipment to solve safety equipment malfunction problems and the manpower supplement for 24-hour monitoring.

Research on the Direction of Forming Rural and Fishing Village Type Community Living Home through Regeneration - With Focus on Community Living Home in Wolmunli, Cheongcheon-myeon, Goesan-gun, Chungbuk - (재생을 통한 농어촌마을형(型) 공동생활 홈 조성 방향에 관한 연구 - 충북 괴산군 청천면 월문리 그룹 홈을 중심으로 -)

  • Kim, Seung-Keun
    • Journal of the Korean Institute of Rural Architecture
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    • v.15 no.1
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    • pp.21-28
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    • 2013
  • Problems of housing, healthcare, social exchanges, and lonely feelings of vulnerable social groups such as the elderly living alone in rural and fishing villages should be resolved by guaranteeing minimum residential rights and levels to restore the sense of self-esteem and social stability and to maintain the rural communities and these should be the object of social interest and support. The housing problems of rural and fishing villages should be resolved not through supply to meet demand but by beginning with providing the ways to attain mutual interaction through the program that recognizes housing as merit goods to maintain the regional communities This research examines more minutely the problems caused by poor housing conditions of rural and fishing villages and attempts to present rural and fishing village type community living home as an alternative through regeneration. The results of this research are as follows. First, the administrative support system should be built to support the community living home in its beginning, process, completion, and even post management. Second, education for reinforcing capabilities to help understand the community living home should continually conducted on the occupants, villagers, and related organizations. Third, in order to expand the community living home, research and development should be made so that the zero-energy house, the alternative energy utilizing house, etc. can be widely used. In building community living home for vulnerable social groups in rural and fishing villages, practical alternatives suitable to the regional realities should be presented and practiced so that the community living home can be built to the satisfaction of all the villagers and the occupants, and the improvement measures should be presented through constant interest and monitoring.