• Title/Summary/Keyword: Vulnerable elderly

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The Effect of an Exercise Program for Preventing Urinary Incontinence among Community-Dwelling Elderly Females Living Alone (일개 시 지역사회 거주 독거여성노인의 요실금예방 운동프로그램 중재효과)

  • Song, Mi Sook;Boo, Sunjoo
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.247-258
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    • 2016
  • Purpose: The purpose of this study was to evaluate the effects of a comprehensive exercise program for the prevention of urinary incontinence (UI), frailty, and depression, as well as the promotion of physical function in community-dwelling elderly female living alone. Methods: A nonequivalent control group pretest-posttest design was employed. The participants were 76 vulnerable elderly female with a mild-to-moderate urinary incontinence. The exercise group completed 12 weeks of a moderate intensity, comprehensive exercise program. Descriptive statistics, independent t-tests and ANCOVA were used for data analysis with SPSS. Results: Upon the completion of the 12-week exercise program, significant improvements for UI symptoms (p=.001), timed up and go (p<.001), frailty (p=.006), and depression (p<.001) were observed, but not for hand grip strength (p=.053). Conclusion: The findings of this study indicate that the 12-week comprehensive exercise program for the prevention of urinary incontinence had positive effects on improving UI symptoms, physical function, levels of frailty and depression in elderly women living alone. More prolonged exercise programs with other types of exercise should be developed for these vulnerable elderly women, and future studies are encouraged to confirm the effect of the comprehensive exercise program in other settings.

The Effect of a Comprehensive Intervention Program on the Functional Status and Bone Density of the Socially-Vulnerable and Frail Elderly (포괄적 중재 프로그램이 취약계층 허약노인의 기능 상태와 골밀도에 미치는 효과)

  • Lee, In Sook;Lee, Kwang Ok
    • Research in Community and Public Health Nursing
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    • v.27 no.1
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    • pp.51-59
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    • 2016
  • Purpose: The purpose of this study is to provide a disease management, nutrition education, and group exercise program for three months to the moderately frail elderly whose physical functions have deteriorated, and to investigate its effects in order to develop an intervention program. Methods: As a quasi-experiment, this study was conducted based on non-equivalence studies designed as a similar experiment. The milk intake group and calcium intake group participated in the disease education, individual nutrition education, and group exercise program for three months, and the control group was visited once in the three months by a nurse who provided disease education, nutrition education, and oral instruction of exercise, and asked them to exercise on their own every day. For the data analysis, ${\chi}^2$-test, ANOVA and $Scheff{\acute{e}}$ test were used. Results: After three months of intervention, there was a significant difference in the frailty level (p=.029) and bone density (p=.001) between the groups. Conclusion: The comprehensive intervention program had an effect on the bone density and the frailty level of the socially-vulnerable and moderately frail elderly, suggesting that the program can be used as a nursing intervention to prevent functional deterioration and damage of the moderately frail elderly.

Research trends in Journal of The Korean Society for School & Community Health Education on Vulnerable Populations from 2000 to 2023: Based on the elderly and people with disabilities (한국학교·지역보건교육학회지 2000년~2023년 취약 계층 연구 동향: 노인과 장애인을 중심으로)

  • Ye-Soon Kim;Young-Hee Nam
    • The Journal of Korean Society for School & Community Health Education
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    • v.25 no.2
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    • pp.71-81
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    • 2024
  • Purpose: This study aims to identify research trends in papers related to the elderly and the disabled published in the journal of Korean society for school & community health education from 2000 to 2023 and seek the direction of the academic development of this journal in the future. Method: A total of 26 articles related to the elderly and the disabled, who are vulnerable groups, were analyzed by year by analyzing the specific subjects, research themes, research design, data collection methods, and keywords of papers published from 2000 to 2023. Results: Looking at the research subjects, studies on the elderly (18 studies) accounted for a larger proportion than studies on the disabled (8 studies). Research themes in the field of healthy living practices for the elderly (44.4%) and research in the field of mental health management (37.5%) for the disabled accounted for a high proportion. The design of research were mostly quantitative and cross-sectional studies. Data collection is mostly based on secondary data. In studies targeting the elderly, keywords appeared in the following order: 'Health' and 'Elderly'. And research targeting the disabled appeared in the following order: 'Disabilities', 'Health', and 'COVID-19'. Additionally, research on the elderly and the disabled has recently shown an increasing trend. Conclusion: Research on the elderly and the disabled has been conducted in line with the purpose of the Korean society for school & community health education, However, In terms of quantitative expansion and qualitative research, research themes, research designs, and data collection methods must be diversified. Methods, public perception. Additionally, research on vulnerable groups that fit the public health promotion and health education paradigm is needed.

Factors Influencing the Health-Related Quality of Life by Age among Vulnerable Elderly Women (저소득 여성노인의 연령별 건강관련 삶의 질에 영향을 미치는 요인)

  • Kim, Yun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.3
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    • pp.1342-1349
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    • 2013
  • This study was performed to investigate the factors which impact on the health-related quality of life of young-old(65-69 yr), old-old(70-79 yr), and oldest-old(80 yr or above) women in vulnerable elderly received home care service from public health centers in B city. The data were collected from 383 elderly women using structured questionnaires from September to November, 2010. Multiple regression with the SPSS WIN 18.0 program were used to analyze the data. There were statistically significant differences among young-old, old-old, and oldest-old women regarding the health-related quality of life, life satisfaction, cognitive function, frail condition. The models including life satisfaction, frail condition, cognitive function, perceived health status, number of chronic diseases were explained variance of the health-related quality of life elderly women differently like 42.8% of young-old, 28.9% of old-old, and 31.5% of oldest-old. Finally, frail condition and life satisfaction were predictors in explaining the level of health-related quality of life among vulnerable old women regardless of age. Based on the findings of the study, health promotion programs should be developed to improve health-related quality of life of vulnerable aged women according to age differences.

A Study on Disaster Vulnerable People who Desire to Use Smartphone for Disaster Information : Focusing on Yeongdeungpo Traditional Market Case (재난약자의 스마트폰 재난정보 활용 욕구에 관한 연구 : 영등포전통시장 사례 중심으로)

  • Park, Sang Kil;Choi, Jae Boong
    • Journal of Information Technology Services
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    • v.18 no.3
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    • pp.1-15
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    • 2019
  • Disadvantaged from disaster response training and disaster safety education who people are vulnerable to disasters when faced with disasters. The vulnerability of these disaster response will be linked to the desire for disaster information. Therefore, using smartphone to provide timely disaster information will be an effective disaster response service that enables disaster vulnerable people to avoid disaster efficiently. In particular, the importance of using smartphone as a part of the body will become more and more important in everyday situations when information is acquired through smartphone. In this study, Through a survey of traditional market traders, I can find out that the desire of elderly women, who are weak in disaster, to receive disaster information through smartphone text service is relatively strong. Based on the results of this study, I expect that the opportunity to improve disaster response capability through smartphone text service will be provided to elderly women who are weak in disaster.

Characteristics of the One-Person Households of the Elderly during Widowhood -Regional Distribution, Socio-Economic Characteristics, and Determinants of Living Arrangement- (사별 후 혼자 사는 노인1인가구의 특성 -지역별 분포와 사회경제적 특성, 결정요인을 중심으로-)

  • Song, Yoo-Jean
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.147-160
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    • 2007
  • This research challenges the general notion of one-person households of the elderly during widowhood as impoverished, isolated, and vulnerable. Recognizing a high potential vulnerability, however, this research attempts to describe the diverse composition of one-person households of the elderly. For this purpose, relying on 2% sample data from the 2000 census, it examines regional distribution, socio-economic characteristics, and determinants of one-person households of the elderly during widowhood. Socio-economic characteristics of one-person households of the elderly differ by region. Jeju island is distinct in terms of sex and age distribution, and residence area of children. In general, rates of economic activity and self-subsistence are higher in provinces than in cities. Compared to the elderly living with family, the elderly living alone show high rates of economic activity, self-subsistence, and capability of physical activity. Results of logistic regression analysis of determinants of living arrangement are consistent with those of descriptive statistics. Those who are economically active and able to move around without assistance tend to live alone after the death of a spouse. Number of sons and living in an urban area are negatively associated with living alone, whereas females are more likely than males to live alone. According to the separate analysis by age, the positive effect of economic activity is greater in the oldest of the old than in other age groups. Those who possess high educational attainment tend to live alone when they are 80 and older, unlike other age groups. Based on these findings, this paper finds that one-person households of the elderly nay not always be the most vulnerable group, and are diverse in terms of socioeconomic characteristics.

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A Study on the Safety Management of Vulnerable Workers in the Construction Site by Importance Performance Analysis (IPA) (IPA분석을 통한 건설현장 취약근로자 안전관리에 관한 연구)

  • Lee, Munho;Yoon, Younggeun;Oh, Taekeun
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.723-728
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    • 2022
  • Most accidents at construction sites are occurring in vulnerable groups such as new workers, foreign workers, and elderly workers. These vulnerable workers often lead to accidents due to the lack of awareness of risks. Therefore, in order to reduce accidents, it is necessary to pay attention to and manage vulnerable workers. This study attempted to identify the level of safety awareness and safety management priorities for vulnerable workers through IPA analysis. New workers should be able to adapt to the field as soon as possible, and foreign workers were found to need frequent check-ups due to language communication problems. In the case of older workers, it was analyzed that it was necessary to check their health and to check whether they were performing other tasks than the prescribed ones.

Effect of Social Exclusion on Depression and Suicidal Ideation among the Elderly in Korea: Focus on Gender Differences (노인단독가구 노인의 사회적 배제, 우울 및 자살생각 : 성 차이를 중심으로)

  • Lee, Jeonghwa;Oh, Young Eun
    • The Korean Journal of Community Living Science
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    • v.27 no.4
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    • pp.831-850
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    • 2016
  • The ratio of suicide among the elderly in Korea has nearly tripled within the last 20 years. With this in mind, this study examined the effects of social exclusion on depression and suicidal ideation among the elderly living in elderly-only households with a focus on gender differences. Social exclusion is composed of economic, health, housing, education, social participation, and relational aspects. For this study, data were gathered from 527 participants aged 65 years and over. The statistical methods used for data analysis were descriptive statistics, chi-square test, t-test, and hierarchical regression analysis with the SPSS Win 20.0 program. The results of this study are summarized as follows: First, more than 80% of the elderly experienced social exclusion. Women were shown to be more vulnerable than men in terms of housing exclusion, educational exclusion, health exclusion, and multiple exclusion, whereas men were more vulnerable than women in terms of social participation exclusion. Second, social exclusion had significant effects on suicidal ideation among the Korean elderly. We also observed gender differences in the results. Regression analysis of suicidal ideation showed that relational exclusion had a significant effect on suicidal ideation in men, whereas health exclusion had a significant effect on suicidal ideation in women. Results of the study show that stronger social support networks and policies focusing on the elderly are needed in order to reduce elderly suicide in Korea.

Needs for Home Care Nursing in the Vulnerable Elderly

  • Lee, Ji-Hyun;Jeong, Youn-Hee;Park, Geum-Ja;Kwon, Sook-Hee
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.201-207
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    • 2007
  • Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.

The Phenomenological Study on the Health and Life of Low-income Seniors who live in Poverty Area in Metropolitan City (달동네에 거주하는 저소득층 노인의 건강과 삶에 대한 현상학적 연구 - 광주광역시 발산마을 거주 노인을 중심으로)

  • Jang, Dongyeop;Shin, Heontae
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.2
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    • pp.79-94
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    • 2017
  • Objectives : The elderly in South Korea are the poorest among OECD countries in 2015. The aim of this study was to explore the health and life of the low-income elderly living in vulnerable areas in a metropolitan city. Methods : Data were collected through in-depth individual interviews with 7 participants from October to November 2015 and analyzed through Colaizzi's phenomenological methodology. The participants were interviewed for over 60 minutes in each person. Results : 7 categories were identified from 17 subcategories: "My life history: sick body," "Living with a sick body," "My poor but precious life," "A sense of distance from the hospital," "Narrowed area of my life," "Thankful for help," and "The village where I have lived my destiny." There is a lack of medical accessibility, mobility, and economic independence for low-income seniors. In addition, full-fledged redevelopment comes to them as violence. Conclusions : The health and life of the low-income elderly in vulnerable areas are products of many social factors, reaffirming the importance of social health.