• Title/Summary/Keyword: adults and elderly

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An exploratory study of financial abuse among older adults (노인 경제적 학대에 대한 탐색적 연구)

  • Lee, Hyunjoo;Kim, Hyojung
    • 한국노년학
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    • v.41 no.3
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    • pp.327-351
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    • 2021
  • This study was motivated by the awareness that little attention has been paid to this issue both theoretically and empirically, despite the fact that financial abuse causes serious problems which are difficult for the elderly to recover from. This study intends to explore what the patterns of financial abuse targeting the elderly are, what causes and sustains these abuses, and what makes it difficult to counter such financial abuses. Data analysis was based on individual and group interviews of ten professionals expected to encounter the most financially abused elderly in social welfare institutions. The thematic analysis shows that financial abuse is often caused and maintained in a trusting relationship through care and protection. Because financial abuse was inflicted on the vulnerable elderly in a state of reinforced psychological dependence based on a long and trusting relationship, it appears that it has been made with tacit acknowledgement and consent. Despite those complex dynamics, it is noted that financial abuse can be judged as such only when the elderly claim to suffer from harm. Rather, intervention without victims' acknowledgement tends to be perceived as violating their right to self-determination. This reality naturally leads to the termination of the necessary interventions with the victims in an abusive situation. Based on these results, discussion focused on more realistic and diverse approaches to the issue of financial abuse of older adults.

Patterns of Antibiotics Utilization in Some Respiratory Diseases in Clinics (일부 호흡기질환에서 의원의 항생제 사용양상 분석)

  • Park, Sylvia;Moon, Ok Ryun
    • Quality Improvement in Health Care
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    • v.5 no.1
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    • pp.58-75
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    • 1998
  • Background : In Korea, the rational use of antibiotics are rarely controlled, and their patterns of utilization are not understood. In order to reduce the excessive use and to improve the appropriate use of antibiotics, it is necessary to accurately determine present uses of antibiotics in hospitals. Methods : Analysis of the use of prescription drugs was performed on NFMI(National Federation of Medical Insurance) 1994 medical expense claim data. A stratified sampling by types of hospitals, departments, and diseases was obtained from 1994 August data. Patients with secondary diseases were excluded. In this study, 2,697 adults with URI, 6,397 children with URI, 704 adults with bronchitis, and 1,838 children with bronchitis were included. Results : Most patients were prescribed medication (95.2-99.6%). Of the patients prescribed medication, more than 85% of URI patients and more than 91% of bronchitis patients were prescribed antibiotics. Antibiotics expenses accounted for 14% of total medical expenses in adults and 9% of total medical expenses in children. In adults with URI, antibiotics expenses accounted for 52% of drug expenses. Of the patients prescribed antibiotics, average number of antibiotics used was 1.6-1.7. For patients who are prescribed antibiotics, drug expenses were 62-97% greater than patients not prescribed antibiotics. When children were prescribed antibiotics, the highest price of drugs prescribed were 3.4-fold greater. In addition, the number of drugs prescribed also increased by more than one. Elderly patients, more than 60 years, were prescribed antibiotics less frequently. Children less than 10 years and elderly patients greater than 60 years old were prescribed fewer antibiotics than other patients. And they were prescribed medications for longer days than other patients. Conclusion : This study demonstrated that the average rate of prescribing antibiotics was higher in Korea than other countries. Measures to reduce overuse of antibiotics and to improve the appropriate prescription of antibiotics must be considered for cost effective treatment and overall health of people.

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Analysis of Convergent Influence of Functional level, Environmental Factors and Lifestyle on Health and Quality of Life among Elderly using Structural Equation Model (구조방정식 모형을 이용한 고령자의 기능 수준, 환경적 요인 및 라이프스타일이 건강과 삶의 질에 미치는 융합적인 영향 분석)

  • Park, Kang-Hyun;Park, Ji-Hyuk
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.377-386
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    • 2019
  • The purpose of this study was to analyze the effect of functional levels, environment and lifestyle of elderly to their health and quality of life. Data collection was conducted by using a self-administered questionnaire from April. 2019 to May. 2019 and the target was selected 200 community-dwelling older adults who lived in their community. The data was analyzed using SPSS 23.0 and AMOS 23.0 programs. As a result, functional levels and physical activity affect health directly and functional levels, activity participation, nutrition and health affect quality of life. Although environment not affect health and quality of life directly, it influence on nutrition and activity participation. Therefore, management of functional levels, environment and healthy lifestyle would be needed so as to enhance health and quality of life of elderly. These findings are expected to be utilized for evidence in order to establish policies and services which are related to health and welfare of elderly.

Developing a Model for Autobiography Writing to Promote Mental Health Using an AI Powered Platform

  • Jinsu Chung;Jaewon Lee;Wontaek Oh;Sungmin Kim;Juwon Lee;Sangwoo Kim
    • Journal of Korean Physical Therapy Science
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    • v.31 no.3
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    • pp.1-14
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    • 2024
  • Purpose: This study aims to make it easier for anyone to write an autobiography by utilizing AI technology, allowing individuals to reflect on their lives and reaffirm their identity, ultimately enhancing their self-esteem. Through this research, the necessity of promoting mental health for the elderly is emphasized, and it seeks to provide foundational data contributing to new approaches for improving quality of life. Methods: Basic data for program development were collected in April 2024. Subsequently, the AI beta version was used to identify issues, which were then addressed and improved upon. Results: The results of this study are as follows: First, it was confirmed that structuring the autobiography writing program and providing clear guidelines are essential. Second, the importance of the role of conversation companions and the need for their prior training were emphasized. Third, ensuring the accessibility and ease of participation in the program was shown to enhance participant engagement. Fourth, further empirical research is necessary to verify the effectiveness of the program. Conclusion: This study confirmed that an autobiography writing model utilizing an AI-based platform can contribute to improving older adults' mental health. Older adults who struggle to use digital devices can become more comfortable with them through this program. Additionally, autobiographical writing activities that involve reflecting on their lives and narrating their stories according to various themes provide older adults with the opportunity to achieve a sense of self-integration. Finally, if this program is disseminated in a manner that suits the characteristics of older adults, it can play a significant role in improving their mental health.

Study on Space Composition Analysis of the Local Old Age Experience Hall (국내 노인생애체험전시관 공간구성에 관한 분석 연구)

  • Cho, Jung-Mi;Kim, Moon-Duck
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2006.05a
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    • pp.173-178
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    • 2006
  • An increase in the proportion of Korean population in older age is much faster than the rest of the world. Along with rise of nuclear family due to rapid industrialization, informatization and materialization, ageing, on current situation in Korea that a reality of being diminished consciousness involving the sense of filial piety, and of respect or honor for the elders, does mean that such topics in ageing have become sociocultural issues that a nation should get more deeply involved in caring later life of the elderly population in an official and obligatory manner. Under this circumstance, an exhibition space in the hall intended for experiencing the later life of the elderly will surely play the role of locomotive in the respect of education to understand aging adults, and to promote development of health and welfare industry, especially for older population, also in creating and developing a positive and desirable culture and environment. To implement design project concerned with the space for the elderly population in a more careful and effective manner, the features of the Old Age Experience Hall that will satisfy the requirements thereof and the space compositions as well as characteristics of three exhibition halls having already been operated were analyzed examining closely the current facing issues in this aging society and also investigating the aging process related to physical functions of older adults. Based on those analyses, this study was aimed to prepare an efficient and systematic theoretical foundation for planning space composition of the Old Age Experience Hall further having extracted basic directions for design from, which should be meticulously considered and reflected so as to make the Old Age Experience Hall function properly.

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Risk Factors Influencing Depression among Elderly with Arthritis in Korean (관절염 노인의 우울위험요인)

  • Kim, Hye-Ryoung;Im, Hyun-Hee
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.103-112
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    • 2014
  • The purpose of this study was to identify the prevalence of depression and its affecting factors among a community dwelling elderly with Arthritis in Korea. A total of 4,050 subjects from the 2008 Korean National Older Adults Life Survey were selected. The data analysis was performed using the complex sampling function of SPSS version 20.0. Logistic regression analysis shows that depression was more prevalent as elderly who were uneducated, who had ADL limitation, who did smoke currently or formerly than had never smoked. The finding of prevalence of its risk factors is expected to promote the screening or prevention strategy for community dwelling elderly with Arthritis in Korea.

The Study on the relationships between age-identity, Attitude toward the elderly and self-esteem of the elderly (노인의 연령 정체감, 노인에 대한 태도, 자아존중감 간의 관계 연구)

  • Lee, Shin-Sook
    • Korean Journal of Human Ecology
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    • v.22 no.1
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    • pp.57-74
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    • 2013
  • The purpose of this study was to identify how age-identity is associated with the attitude toward the elderly and self-esteem of the aged. The subjects were 366 adults aged 60 and over. The statistics used for the data analysis were reliability test, frequency, percentage, mean, standard deviation, one way ANOVA, correlation and multiple regression. The results of this study were as follows; First, The majority of elderly acknowledged psychological ages as their actual ages. Secondly, The degrees of elderlys' age-identity was 2.12, and the levels of the attitude toward the elderly was 60.62. Also, The degrees of elderlys' self-esteem was 24.16. The surveyed data showed higher means than medians. Third, The age-identity of elderly was significant with respect to spouse, religion, career, living state, sex, age, gap of actual age, health state, economic state, education, monthly living expenses. And the attitude toward the elderly was stastically significant with respect age-identity, career, spouse, religion, living state, health state, education, monthly living expenses, economic state, gap of actual age, and age. Moreover, The elderlys' self-esteem level was significant with respect to spouse, age-identity, living state, religion, career, economic state, monthly living expenses, the attitude toward the elderly, health state, education, and age. Finally, The variables affecting the age-identity of elderly were health state, economic state, religion, age that explained about 34% of the total variance. And The attitude toward the elderly were age-identity, health state, gap of actual age that explained about 19% of the total variance. Also, The variables that affect elderlys' self-esteem were economic state, age-identity, the attitude toward the elderly, sex, monthly living expenses that explained about 33% of the total variance.

Family and Community Factors Associated with Life Satisfaction of the Urban Community-dwelling Elderly across Age Groups: Focusing on the Importance of Social Capital (도시 지역 거주 노인의 연령집단별 삶의 만족감에 영향을 미치는 가족 요인과 지역사회 요인: 사회적 자본의 중요성을 중심으로)

  • Chu, Hyeon Sik;Lee, Hanyi
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.207-216
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    • 2022
  • Purpose: The aim of this study was to identify differences and influencing factors in the level of life satisfaction among the urban community-dwelling elderly by age group. Methods: The study was conducted utilizing the secondary data of 2017 Seoul Survey in a cross-sectional design. Of 42,688 participants in total, the data of 7,927 adults aged 65 or older were analyzed. The data were analyzed using descriptive statistics, independent t-test, chi-square test, Pearson's correlation coefficients, and multiple linear regression. Results: There were significant differences between age groups, and it was found that the old elderly groups had significantly higher life satisfaction than the oldest elderly group (t=8.37, p<.011). In common, family and community factors influencing life satisfaction in the two age groups were companion animals (old elderly: β=.03, p=.002; oldest elderly: β=.06, p=.021), social network (old elderly: β=.10, p<.001; oldest elderly: β=.08, p=.008), and social support (old elderly: β=.05, p<.001; oldest elderly: β=.08, p=.005). Conclusion: Based on these results, social welfare and nursing care services focusing on social capital and age group-specific interventions are needed to improve life satisfaction of the elderly. This study might provide the possibility and evidence for a program to improve life satisfaction for the urban community-dwelling elderly, including social capital elements.

Comparison of Gait Pattern during the Support Phase after Perturbation According to Age (보행 시 지지면 급변에 따른 연령별 운동학적 반응 형태 비교)

  • Chun, Young-Jin;Shin, In-Sik
    • Korean Journal of Applied Biomechanics
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    • v.21 no.3
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    • pp.281-288
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    • 2011
  • The purpose of this study was to analyze the difference in reaction patterns during the support phase after perturbation in gait according to different age. A total of 12 subjects participated; 5 elderly and 7 adults(control), to investigate the differences between normal and perturbed gait. The step length didn't change during normal and perturbed gait but was longer in the control group. There was no difference in the step width. When the right foot was perturbed, the control group's left foot speed was faster than the elderly group's which was to maintain stability. The elderly flexed both right and left knees more than the control group. After the perturbation, the elderly group had a larger trunk anterior flexion. With the larger flexion of both legs of the elderly group it shows that the lack of knee flexion strength is a factor, that could cause falling and so a prevention program should focus on strengthening the quadriceps. With the excessive trunk flexion after the perturbation by the elderly group observed, it is suggested that while walking everyday a good routine of walking with an upright posture should be developed.

Risk factors for hypertension in elderly people aged 65 and over, and adults under age 65 (65세 이상 노인과 65세 미만 성인의 고혈압 위험요인)

  • Kim, Ka Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.162-169
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    • 2019
  • This study investigated the risk factors of hypertension among individuals under and over 65 years of age. A total of 6,152 participants were analyzed using the 6th Korean Longitudinal Study of Aging. The collected data were analyzed by Chi-square tests and logistic regression using SPSS 23. The results showed that the subjective health status, diabetes, heart disease, and degree of obesity according to BMI were risk factors affecting hypertension in individuals both under and over age 65. In adults under age 65, chronic lung disease, digestive disease, and drinking were risk factors affecting hypertension. In elderly over age 65, region, arthritis and rheumatic disease, smoking, and cognitive function were risk factors affecting hypertension. There is a need for chronic disease management in Korea due to rapid aging. In particular, it is important to analyze for effective management age-related risk factors affecting steadily increasing hypertension with age. Therefore, it is necessary to manage chronic disease management through social welfare improvement and welfare plans for the elderly, as well as personal management.