• Title/Summary/Keyword: community-dwelling

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Risk Factors of Depressive Symptoms among Community-Dwelling Elderly

  • Lee, Eunhee
    • International Journal of Advanced Culture Technology
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    • v.6 no.2
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    • pp.9-15
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    • 2018
  • The purpose of this study was to assess risk indicators of depressive symptoms such as demographic, socio-economical domains (age, gender, marital status, education, child, religion, income, health, friendship) and personality domains (neurotic personality, self-esteem and life goal attitude) of community dwelling elderly persons. A total of 300 community-residing elderly participants aged 65+ in a metropolitan city in Korea, were recruited for this interview survey. The interview covered demographic and socio-economic characteristics, and administration of the 20-item Korean Version of CES-D, the 10-item Self-esteem, the 19-item Neuroticism and the 10-itm Goal Instability scale. The prevalence of significant depressive symptoms (CES-D scale >= 21) was 31%. Logistic regression analysis showed high risk for depression was associated with high neuroticism, less intimate friendship, high goa1 instability, and childlessness, respectively in the order of significance. Factors in the personality domains were more strongly associated with depressive symptoms than factors in the socio- economical domains. Both cultural and universal meaning of the findings was discussed with regard to intervention.

Concept Analysis of Health Equilibrium in the Community-dwelling Elderly With Chronic Diseases (만성질환 노인의 건강 평형감에 대한 개념분석)

  • Kim, Jeong Soo
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.428-439
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    • 2012
  • Purpose: The purpose of this study was to define and clarify the concept of 'equilibrium' in community-dwelling elderly persons with chronic diseases. Methods: A hybrid model was used for development of the concept of equilibrium. The model included a field study conducted in Seoul, Korea. Participants in this study included 12 elderly persons with chronic diseases who were taking medicine regularly. Results: The concept of equilibrium was found to be a complex phenomenon having meaning in two dimensions: the family-friendly and social relation-oriented dimensions. Four attributes and nine indicators were defined. Conclusion: Equilibrium was defined as the state of having health recognition, will power, and motive power (family-friendly dimension) and having a feeling of participation (social relation-oriented). Therefore, nurses who work with elderly persons with chronic disease in the community should be aware of the attributes and indicators of equilibrium in order to enhance the equilibrium of their elderly clients with chronic diseases.

Fall Risk Home Environment and Fall Experiences among Community-Dwelling Older People (지역사회 재가노인의 낙상위험주거환경과 낙상경험)

  • Han, Jiyoon;Park, Eunok
    • Journal of agricultural medicine and community health
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    • v.47 no.1
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    • pp.27-39
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    • 2022
  • Objectives: The purpose of this research was to explore Fall Risk Home Environment(FRHE) and to investigate the association between FRHE and fall experience among community-dwelling older adults. Methods: The data were collected from 299 older adults using FRHE through observation and interview at home of the participants and were analyzed with SPSS 22.0 applying descriptive statistics, χ2-test, t-test, and logistic regression analysis. Results: The prevalence of fall experience during the past year was 51.5%. 'No handles beside the toilet or bathtub'(73.2%) was most common FRHE factor, 'thresholds in your room or kitchen'(68.9%), 'wearing socks, outer socks, or slipper when you move in the house'(59.5%), and threshold on the gate (apartment entrance)(55.5%) were followed. The findings of logistic regression of FRHE on fall experiences showed darkness of house had the highest Odds Ratio (OR 9.83 95% CI 3.75-25.71), followed by furniture obstructs your walking in the house(OR 7.07, CI 2.88-17.36), dark kitchen (OR 5.13, CI 2.38-11.03). The group having fall experiences presented significantly higher score of FRHE than the group of non experiences of fall. Conclusion: The community dwelling older adults exposures to various FRHE factors and FRHE might increase the risk of falls. Assessing and modifying the home environment could be a good strategy to prevent fall among older adults.

The Study on the meaning of Heidegger's Dwelling;Focused on the interpretations of C. Norberg-Schulz and M. Cacciari (하이데거의 Dwelling의 의미에 관한 연구;C. Norberg-Schulz와 M. Cacciari의 해석을 중심으로)

  • Kim, Kyung-Ho
    • Proceeding of Spring/Autumn Annual Conference of KHA
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    • 2006.11a
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    • pp.337-340
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    • 2006
  • Dwelling refers to a way of being that has to do with a cautious and guarded attitude. What has to be nurtured and preserved is the dweller's relationship with the fourfold of heaven and earth, divinities and mortals. This leads to the fourfold definition that mortals dwell insofar as they save the earth, receive heaven as heaven, await the divinities as divinities, and are capable of death as death. Heidegger sees the thing as the concrescence of what he calls the fourfold of earth, sky, mortals, and divinities. For Heidegger, true being means to be open to the fourfold, to tend the fourfold in its essence. C. Norberg-Schulz takes as his starting point Heidegger's notion of the thing as that in which the fourfold is assembled. The built space must be organized in a way that concrete places are created, places that are characterized by a specific genius loci. This idea refers to life in the warm seclusion of a traditional community, but is much less applicable to the functional networks and relationships that determine life in a modem society. Cacciari thinks that what is worth questioning is in particular the condition of homelessness perceived by Heidegger, and the possible consequences of this situation for architecture. The aim of this paper is to study the meaning of dwelling through Heidegger's concept of dwelling and the interpretations of C. Norberg-Schulz and M. Cacciari about it.

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A Study on the Dwelling Site Planning in the Residential Improvement District as a Sustainable Development - Focused on the Nanminchon II District in Jeonju - (지속가능한 개발로서 주건환경개선지구내 주거지계획에 관한 연구)

  • Kim, In-Sun;Jihn, Jung
    • Journal of the Korean housing association
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    • v.18 no.3
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    • pp.73-80
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    • 2007
  • The purpose of this study is to suggest that dwelling site planning of residential improvement district is to make in the point of sustainable improvement. The methods of this study are as follow, first, introduce the concept of sustainable improvement and research possibility of adaption of the concept. second, make a survey of the Nanminchon II District in Jeonju as a sample of residential improvement district and make a comparative study of the before and after the development. third, research adaptable elements of sustainable residence concept to Nanminchon II District to dwelling site planning. Progress and result of residential improvement district affects dweller to character of place and habitation and will gain summits of architecture.

The Effect of Muscle Strengthening Exercise and Gait Training for Stroke Persons in a Community (지역사회 뇌졸중 환자를 위한 근력강화 운동과 보행훈련의 효과)

  • Won, Jong-Im
    • Physical Therapy Korea
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    • v.13 no.3
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    • pp.18-23
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    • 2006
  • The limited walking ability after a stroke restricts a patient's independent mobility at home and in the community. It also brings about significant social handicaps. Therefore, it is necessary to improve walking ability in community-dwelling persons with stroke. The purpose of this study was to evaluate the effectiveness of gait training and muscle strengthening exercise of lower extremities in persons with chronic stroke. Nineteen community-dwelling individuals with stroke participated in this program. The exercise program lasted for seven weeks, with a 1-hour program twice per week, and it consisted of balance training, gait training, and strengthening of lower extremities. The outcome of the program was assessed by the gait speed, Wisconsin Gait Scale (WGS), Berg Balance Scale (BBS), and Stroke Impact Scale (SIS). Significant effects were found for the WGS, BBS, and mobility and hand function domain of the SIS (p<.05). It was found that short-term gait training exercise could improve quality of gait, balance, and mobility. Therefore, a more effective exercise program is required for community-based persons with stroke.

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The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis (발반사 마사지가 골관절염 재가 여성노인의 관절통증, 관절강직, 우울 및 수면에 미치는 효과)

  • Kim, Chung Soon;Yoo, Kwang Soo;Hong, Se Hwa
    • Research in Community and Public Health Nursing
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    • v.25 no.3
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    • pp.207-216
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    • 2014
  • Purpose: This study was conducted to examine the effects of foot reflexology on arthralgia, ankylosis, depression and sleep in community-dwelling elderly women with osteoarthritis. Methods: The research adopted a non-equivalent control group pretest-posttest design. Participants were 47 elderly women: 22 in the experimental group and 25 in the control group. The experimental group received foot reflexology twice a week for 4 weeks. The results were analyzed using $x^2$-test, t-test, and ANCOVA with the SPSS/WIN 21.0 program. Results: The results showed that foot reflexology was statistically significantly effective in reducing arthralgia, ankylosis, and depression and in improving the quality of sleep as evidenced by differences between two groups. Conclusion: The results of this study indicated that foot reflexology is an effective nursing intervention in reducing arthralgia, ankylosis, and depression, and improving the quality of sleep. Therefore, it is necessary to develop foot reflexology as an independent nursing intervention for elderly women with osteoarthritis in community.

Conceptual Directions of Village Community Center into a Rural Elderly's Welfare Service Space in Chonbuk Province (농촌 마을회관의 노인 복지서비스 공간으로의 활용 방안 - 평면과 이용행태 분석을 중심으로 -)

  • Choi, Byungsook;Park, Sunhee;Oh, Chanok;Hong, Chansun;Im, Sangbong
    • Journal of the Korean Institute of Rural Architecture
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    • v.8 no.2
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    • pp.80-93
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    • 2006
  • This purpose was to explore various directions of elderly service welfare space in village community center. Data were collected 3 types that floor plans of village community centers from 24 villages, interview data of these centers use and needs from 24 aged leaders or 96 elderly. The results were as followed: 1) The floor plans of more than 50% was type IV that was composed a basic spaces(entrance, living room, two rooms, kitchen), a toilet space, a heating system space and a storage space. This type was a current basis of the rural village community centers for elderlies. 2) Elderlies used the centers at winter or out of agricultural season, and visited these to pass the time and to promote friendship among them. 3) Also they went these to take a meal together and to save down personal heating expenses. Their needs for centers were a temporary share dwelling space at winter, a maintain social relationship throughout a health, a education and a side work activity, supplying health or sports facilities, and setting up toilet space. Therefore the current centers were needed to add functions of a temporary share dwelling, a energy saving heat system and a social promoting relationship, and so these could be represented to a elderly welfare service center in rural villages.

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Factors Affecting Instrumental Activities of Daily Living in Community-Dwelling Seniors: A Study Based on an Ecological Approach (지역사회 노인의 도구적 일상생활수행능력 영향요인: 생태학적 모델을 기반으로)

  • Hur, Jungyi;Yi, Yunjeong;Kim, Heegerl
    • Journal of Korean Public Health Nursing
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    • v.34 no.3
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    • pp.341-354
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    • 2020
  • Purpose: This is a descriptive survey research study that identifies the intrapersonal, interpersonal, and organizational and community factors affecting the instrumental activities of daily living (IADL) in community-dwelling seniors. Methods: The study used data from a 2017 national survey of senior citizens, and includes 10,299 subjects aged 65 years or more. Complex sampling was performed to increase accuracy of the population, and hierarchical logistic regression was performed to identify the factors affecting IADL in seniors. Results: Amongst the organizational and community factors, we determined that the number of health centers, welfare facilities for senior citizens, hospital beds, and community sport facilities affected IADL in seniors, even after adjusting for intrapersonal and interpersonal factors. Conclusion: Helping seniors to maintain IADL independence for a longer duration is essential for their physical and social independence. Therefore, when establishing and developing policies for health promotion programs, efforts should be undertaken to actively reflect the level of IADL functions, and to create an accessible health and medical welfare environment by considering characteristics of senior citizens for operating programs.

Effectiveness of Occupation Based Lifestyle Intervention Program for Health Management of Community Dwelling Older Adults (지역사회 거주 노인의 건강관리를 위한 작업기반 라이프스타일 중재 프로그램의 효과)

  • Shin, Yun-Chan;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.11 no.2
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    • pp.77-91
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    • 2022
  • Objective : This study aimed to assess the effects of occupation-based lifestyle intervention programs on older adults in the local community. Methods : Nine community-dwelling older individuals participated in this study using a one-group pre-post design. The occupation-based lifestyle intervention program consisted of 12 group sessions, and one individual session was conducted for seven weeks. Occupational balance, activity occupancy, activity participation, depression, health-related quality of life, and program satisfaction were assessed. Results : The average attendance rate of the nine participants was 10.11 (SD=1.36). Overall occupational balance (p=.012), activity participation status (p=.008), performance (p=.012), and satisfaction with activity participation (p=.008) were increased. Furthermore, the results showed changes in leisure time (p=.008) and rest time (p=.008). Finally, there were some improvements in the overall health-related quality of life (p=.034) and depression scores (p=.012). Conclusions : Occupation-based lifestyle intervention programs positively affected occupational balance, activity occupancy, activity participation, depression, and health-related quality of life in community-dwelling older adults. This research suggests promising benefits and feasibility of the program for community-dwelling older adults.