• Health Policy and Management
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• v.26 no.4
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• pp.305-314
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• 2016

Background: The purpose of this study is to examine the characteristics of and factors associated with long-term care (LTC) utilization under public long-term care insurance (LTCI) among end-of-life older adults in Korea. Methods: Using a 5% sample of older people aged 65 or older and their health and LTC insurance data, two-part model analyses were conducted. We compared LTC uses and their determinants during the last year of life among decedents in the year 2010 with those of survivors. We also compared the medical uses of the same sample with their LTC uses. Results: The end-of-life elderly were more likely to use LTC, and their expenditure on LTC was higher than their counterparts. Whether or not older people used LTC during their last year of life was significantly affected by age, sex, health insurance, household income, and living alone; however, LTC costs of the decedents were only affected by functional status, which may have been due to the reimbursement scheme of the current LTCI, which is mainly based on functional dependency level. For the survivors, having chronic diseases significantly increased the likelihood of LTC use, which was not the case for the decedents. End-of-life elderly with relatively low social economic status were more likely to use the LTC other than medical services, while the health conditions affected their medical uses most significantly. Conclusion: The study findings provide key information for predicting demand related to the increasing LTC needs of Korean older people at the end of life.

• Journal of the Korean Society of Clothing and Textiles
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• v.33 no.3
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• pp.433-443
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• 2009

The purposes of this study were to investigate the relationships among body image, social self concept, and clothing behaviors of adolescents, and to find out the differences of the relationships among these three variables by adolescents' sex and age variables. The research method was survey and the subjects were 656 male and female adolescents in Daejeon. The questionnaire consisted of 4 measuring instruments; body image, social self concept, clothing behaviors and demographic attribution. The data were analyzed by Cronbach's ${\alpha}$, factor analysis, t-test, and path analysis, using SPSS program. The results were as follows. First, adolescents generally evaluated their bodies as middle level on their physical attractiveness and had positive social self concept. And high school students had more positive body image and social self concept than middle school students. Second, on clothing behaviors, 5 dimensions were emerged: clothing interest, psychological dependency of clothing, clothing ostentation, clothing conformity, and clothing satisfaction. Third, there were close correlations among body image, social self concept, and clothing behaviors; body image and social self concept had close interrelationship each other. However, body image had close relationship with only clothing satisfaction dimension, whereas social self concept had close relationships with all clothing behavior dimensions except clothing conformity. In conclusion, this results showed that body image, social self concept and clothing behaviors have close interrelations, therefore, clothing play an important role to enhance adolescents' body image and social self concept.

• Journal of Korean Academy of Nursing
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• v.49 no.6
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• pp.724-735
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• 2019

Purpose: This study was conducted to investigate relationship between delirium, risk factors on delirium, and patient prognosis based on Donabedian's structure-process-outcome model. Methods: This study utilized a path analysis design. We extracted data from the electronic medical records containing delirium screening data. Each five hundred data in a delirium and a non-delirium group were randomly selected from electronic medical records of medical and surgical intensive care patients. Data were analyzed using SPSS 20 and AMOS 24. Results: In the final model, admission via emergency department (Β=.06, p=.019), age over 65 years (Β=.11, p=.001), unconsciousness (Β=.18, p=.001), dependent activities (Β=.12, p=.001), abnormal vital signs (Β=.12, p=.001), pressure ulcer risk (Β=.12, p=.001), enteral nutrition (Β=.12, p=.001), and use of restraint (Β=.30, p=.001) directly affecting delirium accounted for 56.0% of delirium cases. Delirium had a direct effect on hospital mortality (Β=.06, p=.038), hospital length of stay (Β=5.06, p=.010), and discharge to another facility (not home) (Β=.12, p=.001), also risk factors on delirium indirectly affected patient prognosis through delirium. Conclusion: The use of interventions to reduce delirium may improve patient prognosis. To improve the dependency activities and risk of pressure ulcers that directly affect delirium, early ambulation is encouraged, and treatment and nursing interventions to remove the ventilator and drainage tube quickly must be provided to minimize the application of restraint. Further, delirium can be prevented and patient prognosis improved through continuous intervention to stimulate cognitive awareness and monitoring of the onset of delirium. This study also discussed the effects of delirium intervention on the prognosis of patients with delirium and future research in this area.

• Journal of the Korea Convergence Society
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• v.8 no.7
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• pp.305-313
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• 2017

The purpose of this study is to investigate the effect of the level of participation in sports for the disabled on the community attachment. The subjects of this study were 227 persons with physical disabilities in D city. The analysis method was analyzed by factor analysis, frequency analysis, independent t-test, one-way ANOVA and multiple regression analysis using SPSS 21.0 program. The results of this study are as follows: First, there is a high level of community attachment to male(sex), 40's and 50's(by age group) and 1st and 2nd grade(by disability grade). Second, in the degree of participation, the duration of exercise and duration of exercise, duration of exercise in dependency, and duration of exercise and intensity of exercise were found to have a positive effect on identity. As a result, it affected the consciousness of local community. In future research, it is necessary to study the psychological effect connected with community.

• Journal of Korean Society of Forest Science
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• v.87 no.4
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• pp.620-629
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• 1998

The purposes of this study were to understand the resident' attitudes toward national parks and to identify the residents' perceptions of tourism and the influence of socioeconomic characteristics on their response. In winter of 1997, 153 questionnaires were obtained from a convenience sample of households within Soraksan National Park boundary. The residents perceived both positive and negative environmental and economic impacts of tourism, however, they were reluctant to attribute social costs to tourism. Despite some negative tourism impacts, most of the residents supported additional tourism development and disagreed to limit the number of visitors. Their perceptions of tourism impacts were varied with age, education level, economic dependency on tourism, place of residence, and length of residence.

• The Korean Journal of Rehabilitation Nursing
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• v.7 no.1
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• pp.96-104
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• 2004

Purpose: The aim of this study is to evaluate the general status and prevalence of cerebral palsy, the complication and the activity of daily living in patients with cerebral palsy in Holt Ilsan Home. Methods: Cross-sectional study was performed on 113 cerebral palsy patients in Holt Ilsan Home with the medical records review, the physical examination, and the Modified Barthel index for the independency of activities of daily living. Results: The mean age of subjects was $28.1{\pm}12.7$ years and the duration of residence was $22.9{\pm}12.8$ years. The most common type of cerebral palsy according to the muscle tone abnormality was spastic type(53.1%). The most frequent condition in which extremities are involved were quadriplegia in 46.0%. The score of Modified Barthel index was significantly lower in mixed type for $16.9{\pm}24.0$ and quadriplegic type for $14.8{\pm}25.5$ compared with others. Conclusion: This study indicates that cerebral palsy patients in rehabilitation facility have severe medical problems such as musculoskeletal complications, visual and language problems, epilepsy and dependency in activities of daily living. Therefore more medical attention like long-term follow-up study and social supports is needed.

• Korean Journal of Community Nutrition
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• v.9 no.3
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• pp.251-262
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• 2004

The aim of this study was to assess the nutrient intakes from infant formula and supplemental foods of 246 healthy infants fed infant formula, aged from 5 to 18 months. Subjects were devided into two groups depending on supplemental food type for weaning, Domestic supplemental foods (mainly home-made, n = 129) and Delivery supplemental foods (mainly commercially-delivered, n = 117). Four subgroups were assigned to 5-6 months, 7-8 months, 9-11 months, and 12-18 months by ages, respectively. Dietary assessment was carried out using 24-hour-recall method. Formula intakes in the delivery group tended to decrease accordingly with the ages. However, in the domestic group, formula intakes up to 8 months were similar and decreased after 9 month. Energy, protein, calcium and iron intakes from infant formula and supplemental foods were assessed. Energy intake at 12-18 months were lower than the RDA in both groups. Daily intake of protein and calcium at all ages were much higher than the RDA in both groups. Therefore, protein and calcium overnutrition were elucidated. Especially, protein intake at 5-6 months, calcium intake at all ages from infant formula was higher than the RDA in both groups. Iron intake at 5-6 months from infant formula were higher than the RDA. Consequently, as for infant formula, it was suggested that not only formula intakes but also nutrient content in formula should be reconsidered. On the other hand, nutrient intakes from supplemental foods in the domestic group tended to be higher than that of the delivery group. Especially at 9-11 months, significant differences between the two groups were observed. This may be due to high dependency on commercial powdered baby food in the domestic group. This study revealed that daily nutrient intakes of formula-fed infants are desirable but nutrient intakes from infant formula are too high. Conclusively, this study suggests that as the age of infants increases, formula intakes should be controlled and various supplemental foods besides commercially powdered baby food should be appropriately provided.

• The Korean Nurse
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• v.36 no.3
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• pp.70-80
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• 1997

This study of elderly in-patient subjects' expected level of care given by family members and nurses is intended to provide foundational information for use by nurses is attending to elderly patients. The objects of the study were elderly in-patients over the age of 65 hospitalized at two General hospitals in Chonju: 102 subjects filled out the 60 question survey between December 16 and 24. 1996. The analysis process was conducted using SPSS producing percentage. mean and standard deviation. maximum and minimum values. t-test, ANOVA. and so on. The results are as follows: 1. From the general results of the survey. one can observe that statistically significant differences appeared in various levels of education of the subjects: no education(2.98). primary school completed(2.91). middle school or higher completed(2.77). As shown. the lower level of education correlates with higher care-giving expectation. 2. On a scale of 1(minimum) to 4(maximum). the mean levels of care expected by elderly inpatients from their families is 2.93. with a standard deviation of 0.28. The level of psychological care expected(mean 3.02. standard deviation 0.31) is higher than the level of care expected(mean 2.83. standard deviation 0.34). 3. The level of care expected among those of different levels of dependency for daily living (differentiated as dependent. partially dependent. independent) was highest among the partially dependent(mean 2.98. standard deviation 0.17). but the results were not statistically significant. 4. Elderly in-patients with high levels of emotive interaction with their families expected relatively high levels of physical care. while the highest levels of socio-psychological care were expected from those who reported normal levels of emotive interaction with their families. However. We can see that low levels of care are expected from those reporting low levels of emotive interaction with their families. Overall. the differences in the level of care expected between those reporting different levels of emotive interaction with their families was not shown to be statistically significant.

• Journal of the Korean Institute of Intelligent Systems
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• v.26 no.6
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• pp.458-463
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• 2016

In this paper, the fuzzy structure model for the consciousness structure of social workers related to the elder abuse factors was derived and analyzed. The characteristics of the model was obtained as follows. First, the elder abuse behavior at the top layer was related to the attitude of the elderly and the work overload of social workers. Second, the attitude of the elderly and the work overload of social workers at the middle layer were related to the personality of social worker, the physical and mental dependency of client, and the personality of client. Third, the personality of social worker, the knowledge of the elderly, the personality of client, and the physical and psychological dependence of the client affected directly the elder abuse behavior without going through the middle layer. Fourth, the work overload of social workers at the middle layer was affected the attitude of the elderly. Finally, the age of social workers, the working image, the job training, and provision of punishment to the social workers were the isolated layer, in which the relationship between the elder abuse behavior and related factors was not found.

• Korea journal of population studies
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• v.3 no.1
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• pp.62-77
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• 1979

The purpose of this study is to explain the increasing trend of the aged population and its demographic characteristics. This study is based on the data for the aged population above 65 years old published by the Bureau of Statistics, Economic Planning Board. The increasing trend of the aged population has been analyzed and projected from 1955 to the year 2000. Some demographic charicteristics of the aged population including marital status, educational status and status of economic activities have also been analyzed in order to identify the problems associated with aging of population in Korea. The study offers the following conclusion. 1. The aged population index, the proportion of aged population to total population was 3.6 in 1975 and projected to be 6.6 in 2000. There has been steady increase of the aged population is reflected in changes of population structure. The proportional change of the aged population index was 100.0 in 1955, 109.0 in 1975 and 200.0 in 2000 respectively. 2. As for marital status of the aged population 77.6 per cent of male were married while 24.3 per cent of female were married in 1975. 22 per cent of male were widowed while it spouses died declined remarkable the mortality rate declined. 3. As the educational status of the aged, 77 per cent never attended school and 18 per cent attended from a primary school. This is very low and the number of educated men is higher than that of educated women. The rank ordering of schooling is city, Eub and Myeon in that aged. 4. The dependency ratio of the aged population was 5.9 in 1955, 6.1 in 1975 and will be 9.8 in 2000. It is gradually increasing as indicated above 20 per cent of aged population was economically active of these, they are employed in the following occupations as listed in order of the magnitude of the aged population employed. The employment status of the aged workers shows that a greater number of persons are self-employed than workers for another employer. In particular, temporary employees comprise 56.0 per cent of those employed.