• Title/Summary/Keyword: adults and elderly

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Reliability of Treadmill Exercise Testing in Adults With Chronic Hemiplegia and Elderly People

  • Kim, Nam-Joe;Lee, Suk-Min;Chung, Yi-Jung
    • Physical Therapy Korea
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    • v.14 no.4
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    • pp.84-90
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    • 2007
  • The purpose of this study was to assess the test-retest reliability of heart rate (HR) and velocity measurements during peak effort and free treadmill walking tests in older patients with gait-impaired chronic hemiparetic stroke and control group. Twenty-two adults (13 men, 9 women; mean age, $73.7{\pm}5.2$ yrs) with chronic hemiparetic stroke are the experimental group. Nineteen elderly people (5 men, 14 women; mean age, $72.3{\pm}3.5$ yrs) were recruited as control group. Patients had mild to moderate chronic hemiparetic gait deficits, making handrail support necessary during treadmill walking. Free and peak effort treadmill walking tests were measured and then repeated at least two days later. Reliability was calculated from HR and walking velocity during free and peak effort treadmill walking test. Among the people who had strokes, HR [ICC(2,1)=.85, r=.86] and velocity [ICC(2,1)=.93, r=.93] were good parameters during free testing. Maximal testing generated good results for HR [ICC(2,1)=.81, r=.82] and velocity [ICC(2,1)=.96, r=.96] with the chronic hemiparetic stroke. In elderly people, HR [ICC(2,1)=.59, r=.62] and velocity [ICC(2,1)=.77, r=.76] were moderately reliable during free testing. Maximal testing produced moderate parameters for HR [ICC(2,1)=.74, r=.74] and velocity [ICC(2,1)=.66, r=.66] in the elderly. This study provides that free and maximal treadmill testing produce highly reliable HR and velocity measurements in adults with chronic hemiplegia using minimal handrail support.

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A Study on the Experience of Adults Emotionally Caring for Their Elderly Parents Living Alone: Focusing on Middle-aged Adults with Insecure Attachment (독거노년부모에 대한 중년자녀의 정서적 돌봄 경험 : 불안정부모애착 중년을 중심으로)

  • Kim, Kye-Yeon;Hong, Kyung-Wha
    • The Journal of the Korea Contents Association
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    • v.21 no.11
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    • pp.657-679
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    • 2021
  • This study aimed to explore the experience and nature of emotional care for elderly parent living alone for middle-aged adult who formed initial insecure attachment with his or her parent. To this end, 12 middle-aged people aged 45 to 60 (3 males and 9 females) were recruited as subjects of the study, interviewed in-depth, and analyzed using Colaizzi's phenomenological research method. As a result of the study, 60 constitutive meanings, 18 themes, and 4 thematic groups were derived for the experience of middle-aged adult who experienced insecure attachment to his or her parent and caring for the emotional needs of elderly parent living alone. Thematic groups included "negative experiences that caused emotional exhaustion," "emotional driving force in emotional care," "the role of helper in parental care," and "economic and physical content in emotional care". This study is meaningful in that it revealed the phenomenon of experiences of emotional care for parent living alone by middle-aged adult who had an initial unstable attachment with his or her parent to understand them and contributed to the provision of counseling data.

Factors Affecting Later-life Expectation of Semi-older Adults (준고령자의 노후생활기대감에 영향을 미치는 요인)

  • Lim, Jeungsuk;Chung, Soondool;Jeong, Juhi
    • 한국노년학
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    • v.39 no.3
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    • pp.569-587
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    • 2019
  • This study aims to look at the factors affecting later-life expectation of semi-older adults. Total of 323 participants aged from 50 to 64 was used for analysis from the data of 'Korean's Perception on Aging Society', which was conducted on behalf of Initiative for Humanities' Research and Education, funded by National Research Foundation of Korea. Multiple regression analysis was used for analysis, and the results are as follows. First, later-life expectation of semi-older adults appeared to be high. Second, the significant factors were prejudice towards the elderly and social solidarity. That is, participants with lower prejudice towards the elderly and higher trust and solidarity with society showed greater later-life expectation. Based on the results of this study, future research directions and implications for policy and practice were suggested.

Qualitative Study on the Perception of Community Food-accessibility Environment among Urban Older Adults (도시지역 일부 노인에서 지역사회 식품의 접근성 측면에서의 식품환경 인식에 대한 질적 연구)

  • Yang, Narae;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.25 no.2
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    • pp.137-149
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    • 2020
  • Objectives: This study explored the community food environmental factors affecting food purchasing using a qualitative research methodology for the elderly as well as the various food environments under their socioeconomic diversity. Methods: For the qualitative data collection, this study interviewed 20 elderly people aged 65 years or more, who participated in a public health program or lunch services operated by the senior welfare center in Seoul. Five dimensions, such as availability, physical accessibility, affordability, acceptability, and accommodation suggested in previous studies, were used to identify the community food environmental factors. Results: The elderly participants showed overall similarities to the concepts derived from existing studies on the five dimensions of food accessibility environment. In addition, other important food accessibility environmental factors that were not present in previous studies, such as acceptability for a product of domestic origin, delivery service to home, and small-packaged food sales, were derived. On the other hand, the concept of some subjects differed depending on the household income and specifically for the physical accessibility concept. This showed that the close distance factor from a grocery store at home might not apply to older adults in low-income households in Korea. Conclusions: This study found that five dimensions of the food environment suggested by previous studies could also be applied to vulnerable older adults in Korea. On the other hand, the socioeconomic characteristics of individuals and households would affect the perspectives of their local food environments differently. The findings of this study could help in the development of tools for evaluating the community food environment.

Needs of the elderly with dementia in long-term care facilities: from the perspectives of patients and caregivers (장기요양시설 거주 치매 노인의 욕구: 대상자와 간호제공자의 관점을 중심으로)

  • Kang, Hyunwook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.260-269
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    • 2018
  • This study investigated the needs of the elderly with dementia from the perspectives of patients and caregivers in long-term care facilities. A total of 145 older adults with dementia and 62 nurses from 3 geriatric hospitals were enrolled in this study. The cognitive function, behavioral and psychological symptoms, activities of daily living (ADL), and instrumental activities of daily living (IADL) were measured. The mean number of needs reported by the elderly with dementia was 11.94 and those with unmet needs were 2.91 on average. Nurses showed that the mean number of needs and unmet needs of the elderly with dementia was 14.71 and 1.94, respectively. The largest number of older adults with dementia (42.2%) perceived that the needs for daytime activities were unmet. On the other hand, only 24.1% of nurses evaluated that the needs for daytime activities were unmet. The factors influencing the needs of the elderly with dementia were dependency in ADL and IADL. Therefore, caregivers in long-term care facilities need to take the perception of older adults with dementia into consideration when evaluating the met and unmet needs of the elderly with dementia. In addition, sufficient assistance to IADL and ADL would help reduce the needs of people with dementia.

A Study on the Analysis of Domestic and Foregin Smoke Controls for Refuge Safety in Elderly Facilities (고령자시설의 화재시 피난안전성 확보를 위한 국내외 연기제어 분석에 관한 연구)

  • Jin, Seung-Hyeon;Lee, Byeong-Heun;Kim, Hye-Won;Kwon, Young-Jin
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2017.11a
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    • pp.56-57
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    • 2017
  • Recently, the nation's elderly facilities have grown rapidly since the implementation of the long-term care law in 2008. Also, older adults who use older facilities are also growing. With the increase in the number of fires, increasing the number of fires is also a social issue. In this study, the study conducted an investigation into the smoke control system to analyze the smoke control methods of the elderly and elderly citizens in order to secure the safety of the elderly facilities in the event of a fire, and investigated the smoke control status of the elderly in Korea.

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Association between Environmental Perception and Subjective Health Status of Older Adults (노인의 환경인식과 주관적 건강과의 관련성)

  • Lee, Sungeun
    • Journal of Environmental Health Sciences
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    • v.44 no.4
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    • pp.391-396
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    • 2018
  • Objectives: The purpose of this study is to examine the level of community environmental perception of older adults and to identify the association between environmental perception and subjective health status among older persons. Methods: Analyses are based on data from Statistics Korea 2016 Social Survey. This study analyzed a total of 8,193 older adults aged 65 and over, and examined the association between environmental perception on air, water, soil, noise and vibration, and subjective health status using multiple regression analysis. Results: Study findings shown that environmental perception on water and soil had significant association with subjective health status of older adults. Specifically, older adults reported worse health status when they had more negative perceptions of water and soil environments in their communities. Conclusions: Results of this study suggested that efforts to enhance safety of drinking water and soil environments, and continuous research to identify relationship between environment and elderly health shoud be needed.

The Decline of Memory Performances of Old Adults and its Correlated Factors (노인의 기억수행감소와 관련 요인)

  • Min, Hye Sook
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.468-478
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    • 2006
  • Purpose: The purpose of this study were to find out the degree of memory decline and to confirm its correlated factors in old adults. Method: The subjects consisted of 68 old adults over the age 65 who living in Busan. Data were collected by the interview method, using a structured questionnaire and the testing method on the memory performance. Results: The old adults' memory performances declined in tasks of immediately word recall, delayed word recall, and face recognition and increased slightly in word recognition over 2 years. However, there was only significant difference in delayed word recall task. The significant variables to predict memory decline were age, literacy, depression, locus, and strategy. Conclusion: The memory decline of old adults wasn't more serious problem than the perceived one. There needs to be some intervention programs to prevent memory decline for the elderly.

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Effect of Multisensory Intervention on Locomotor Function in Older Adults with a History of Frequent Falls

  • You, Sung-Hyun
    • Physical Therapy Korea
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    • v.11 no.4
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    • pp.51-60
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    • 2004
  • Falls are common, costly, and a leading cause of death among older adults. The major predisposing factors of a fall may include age-related deterioration in the dynamic system composed of auditory, somatosensory, vestibular, visual, musculoskeletal, and neuromuscular subsystems. Older adults with a history of frequent falls demonstrated significant reductions in gait velocity, muscle force production, and balance performance. These altered neuromechanical characteristics may be further exaggerated when faced with conflicting multisensory conditions. Despite the important contribution of multisensory function on the sensorimotor system during postural and locomotor tasks, it remains unclear whether multisensory intervention will produce dynamic balance improvement during locomotion in older adults with a history of frequent falls. Therefore, the purpose of this paper is to address important factors associated with falls in elderly adults and provide theoretical rationale for a multisensory intervention program model.

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Prevalence and Its Influencing Factors on Depression among Elderly Vulnerable People in Urban Community (일 도시지역 취약노인의 우울 유병률과 영향 요인)

  • Kim, Hye-Ryoung
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.275-286
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    • 2013
  • To identify the prevalence and its influencing factors on depression among elderly vulnerable people in one urban community. This study used data from 381 of elderly vulnerable people in the community. The prevalence of depression was found to be 51.97%. Multivariate logistic regression analysis shows that depression was more prevalent as people in female gender; people with lower self-esteem compared to those with higher self-esteem; in elderly who perceived lower social support compared to those who perceived higher social support; and in the older adults with limitation in instrumental activity of daily living. The finding of a significant association between gender difference; self-esteem; perceived social support, and limitation in instrumental activity of daily living and occurrence of depression expected to promote the screening strategy for elderly at risk of depression in Korean community.