• The Korean Journal of Community Living Science
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• 제24권3호
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• pp.343-354
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• 2013

Elderly people living in poverty are one of the most vulnerable population groups who are at risk of experiencing social exclusion. Social participation is an important contributing factor to active aging and social integration of the older adults living in poverty. This study aims to identify factors affecting social participation of the poor elderly. Data from the second wave of the Korean Longitudinal Study of Ageing was used for the analyses and 1,346 poor elderly aged over 65 were analyzed. The findings showed that age, education, health status, a level of depression, financial stress, and economic activity were associated with the social participation of the elderly living in poverty. These results indicated that psychological empowerment and specific needs of the older adults living in poverty should be considered in developing services and programs to promote social participation of the poor elderly.

• Journal of Home Health Care Nursing
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• 제24권3호
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• pp.264-274
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• 2017

Purpose: This study examined the current state of death preparedness and factors related to the death preparedness among community-dwelling older adults in Korea. Methods: A total of 6,879 older adults' data, selected from the Korean National Survey on the Elderly 2014 data, were analyzed. The criteria for selection were responding to the questionnaires directly and normal cognitive function. Stratified sampling logistic regression analysis was conducted on the compiled data. Results: It was seen that 37.3% of older adults were prepared for death; specifically, 28.6% had arranged for resting places, 10.7% had purchased burial clothes, 6.8% had subscribed to mutual aid societies, 0.7% participated in death education, and 0.6% had signed a will. The results of logistic regression indicated that the older adults who were females, older age, religious, highly educated, more satisfied with their economic status, living in rural areas, and participating in more social activities were more likely to prepare for their deaths compared to their counterparts. Conclusion: Education programs that prepare for death need to target marginalized groups in the community, such as male older adults and whose participation in social activities or satisfaction with their economic status are relatively low.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.495-503
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• 2023

Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.

• Physical Therapy Rehabilitation Science
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• 제7권4호
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• pp.179-185
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• 2018

Objective: The purpose of this study was to analyze and compare vertical ground reaction forces during sit to stand (STS) and gait between female elderly and young individuals using the Wii Balance Board (WBB). Design: Cross-sectional study. Methods: Fifty-one female elderly people (age: $75.18{\pm}4.60years$), and 13 young people (age: $29.85{\pm}3.69years$) performed the five times STS test and gait respectively on the WBB. We analyzed time (s), vertical peak (%), integral summation (Int_SUM, %), and counter variables (%) in STS and 1st peak (body weight, BW%), 2nd peak (BW%), peak minimum (BW%), time (second), center of pressure (COP) path length (mm), and Int_SUM (BW%) in gait. The independent t-test was used to assess for differences in STS, gait ability, and general characteristics between the female elderly group and young adults group. With the first and last trials excluded, the mean value was obtained from the middle three of the five trials. Results: During STS, Int_SUM and time of young adults were significantly less than of the female elderly subjects. There were no significant differences in peak and counter variables. In gait, all variables (1st peak, 2nd peak, min, time, COP_path, and Int_SUM) showed significant differences between groups (p<0.05). This study demonstrated that the validity of vertical ground reaction forces occurring during STS and gait was significant in female elderly and young adults. Conclusions: Based on the measurement of vertical ground reaction forces in STS and gait using the WBB, it is possible to clinically improve the quality of geriatric physical therapy. Further studies are necessary to examine concurrent validity of elderly patients who have undergone total hip or knee replacement.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.185-196
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• 2021

Objective: Falling is one of main accident to facilitate the physical injuries in order adults. The purpose of the systematic review was to determine the effects of postural balance training whether the recovery of falls in elderly with normal physical function or not throughout summing the selected studies quantitatively. Design: A systematic review Methods: MEDLINE and other four databases were searched up to April 20, 2021 and randomized controlled trials (RCTs) evaluating postural balance approaches on fall risks in elderly. The researched studies excluded the double studies, titles and abstract, and finally full-reported study. The selected RCTs studies were extracted characteristics of the studies and summary of results based on PICOS-SD (population, intervention, comparison, outcomes, and setting- study design) model to synthesize the papers qualitatively. Results: The review involved 22 RCT reports with 4,847 community older adults aged 65 years or over. Nineteen of the selected RCT studies reported dual or multimodal exercises show the beneficial effect for older adults compared to one-type treatment or no intervention. All of selected showed low risk in the selection, attrition, and reporting bias. However, detection bias showed low risk at 75% records of the involved RCTs and performance bias was low risk at only three records. Conclusions: The results of the systematic review propose that a standardized therapeutic approach and the intensity are needed for improving risk of falls in older adults.

• Research in Community and Public Health Nursing
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• 제26권2호
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• pp.79-88
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• 2015

Purpose: The purposes of this study were to examine the relationship between health belief and exercise compliance among elderly adults at senior centers and to identify factors influencing their exercise compliance. Methods: The subjects of this study were 100 elderly adults who were using senior centers in J City. Data were collected from the 5th of August to the 14th of September in 2014 using a questionnaire about general characteristics, health belief, and exercise compliance. Data analysis included one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple regression using the SPSS/WIN 18.0 program. Results: The mean score for exercise compliance was 3.85 (range 1~5), and for perceived health state 3.17 (range 1~5). The mean score for each of the sub-factors of health belief was 3.89 for benefit, 1.94 for barrier, 3.34 for severity, 2.43 for sensitivity, and 3.65 for exercise self-efficacy (range 1~5). There was a significant correlation between exercise compliance and exercise benefit, and 28% of variance in exercise compliance was explained by exercise benefit in health belief, family history of illnesses, and perceived sensitivity in health belief. Conclusion: To promote exercise compliance among elderly adults at senior centers, exercise programs emphasizing exercise benefit should be developed.

• Journal of the Korean Society of Physical Medicine
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• 제10권3호
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• pp.73-79
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• 2015

PURPOSE: This study aims to examine the impact of the location of a walker-aid pocket that is attached to the walker while walking. METHODS: The research subjects included 10 male adults and 10 elderly people. The subjects used a two-wheeled walker for the walking analysis, and a firm velcro-type pocket that can be attached to the walker aid was used for weight loading. The size of the external loads was set at 2kg, which corresponds to approximately 2.5% of the mean body weight of the subjects. The pocket was attached to the left, center, and right sides of the walker aid. Stride length, stride, step width, and time were investigated according to the location change. RESULTS: No statistical differences were observed in all the walking factors among the adults and elderly people regardless of the changes in the location of the walker pocket. In cases of no weight and the 2kg walker pocket, stride length and strides were longer for the adults, while the step width was greater and walking time was longer for the elderly people. CONCLUSION: The weight of the walker pocket turn out to retard walking speed, although the location of the walker pocket is not affect walking with the walker-aid.

• International Journal of Advanced Culture Technology
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• 제8권4호
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• pp.306-317
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• 2020

This study aimed to identify the factors affecting elderly care willingness (ECW) of nursing students. A total of 313 nursing students participated in the study. Data were collected from May to June 2019 using Interpersonal Reactivity Index-Korean version, Semantic Differential Scaling for evaluating attitudes toward elders, Scale of Ageism, and Questionnaire for care willingness toward older adults. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS 21.0 Program. The factors with the most significant influence on the elderly care willingness was prejudice toward the elderly (β=-.30, p=.001), followed by attitude toward the elderly (β=-.25, p=.004), third year (β=-.23, p=.016), satisfaction with volunteer experience with the elderly (β=-.21, p=.008), satisfaction with nursing major (β=-.17, p=.032), and empathy (β=.16, p=.046). These factors explained 46% of the elderly care willingness. In conclusion, it is necessary to reduce prejudice against the elderly and develop positive attitudes toward the elderly to increase the willingness of nursing students to care for older adults. In particular, further study is required to increase the willingness of nursing students to care for the elderly through developing programs such as curriculums for positive contact experiences with the elderly and volunteer activities for the elderly.

• The Journal of the Korea Contents Association
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• 제13권10호
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• pp.444-451
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• 2013

The purpose of this study was to investigate the changes in temporospatial variables in healthy elderly and healthy adults during usual walking, narrow base walking and centerline-guided walking. Twenty healthy elderly and nineteen healthy adults were participated in this study. In each conditions, the subjects were walked on a 6m walkway at comfortable self-selected speeds under three conditions : (1) usual walking, (2) walking within a 50% of the distance between the subject's ASIS (3) walking along a centerline. GAITRite system was used for kinematic analysis to assess the temporospatial variables. There were no significant changes in healthy adults(p>.05), but walking speed, cadence, H-H base support, functional ambulation performance were significantly decreased progressively as pathway narrowed in elderly adults(p<.05). The results show that elderly people had more difficulty with walking on narrow pathway for fear of falling. This study provides data for use in basic research into safe walking and preventing falling for elderly.

• International journal of advanced smart convergence
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• 제13권3호
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• pp.205-213
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• 2024

Digital transformation (DT) has gained global attention in various service industries, due to the pervasive nature and proliferation of recent digital technologies. Given that we live in an age of DT, the current research examines the factors influencing the older adults' quality of life due to DT. Specifically, we examine whether the older adults' digital skills (i.e., ability to use applications and self-efficacy in using digital devices) and motivational factors regarding DT (i.e., involvement in DT and need for cognition regarding DT) predict their quality of life due to DT. To answer the research question, we conducted a hierarchical multiple regression analysis using the elderly Korean adults aged 65 or older. The results indicate that the older adults' ability to use applications, self-efficacy in using digital devices, involvement in DT, and need for cognition regarding DT are positively associated with quality of life due to DT. The findings provide important implications to improve the elderly's quality of life due to DT.