• Korean Journal of Artificial Intelligence
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• v.9 no.2
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• pp.15-21
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• 2021

This paper conducted a feasibility study by applying an Internet of Things and Artificial intelligence-based management system for the elderly living alone in an aging society. The number of single-person families over the age of 50 is expected to increase, and problems such as health, safety, and loneliness may occur due to aging. Therefore, by establishing an IoT-based care system for the elderly living alone, a stable service was developed through securing a rapid response system for the elderly living alone and automatically reporting 119. The participants of the demonstration test were subjects under the jurisdiction of the "Seongnam Senior Complex," and the data collection rate between the IoT sensor and the emergency safety gateway was high. During the demonstration period, as a result of evaluating the satisfaction of the IoT-based care system for the elderly living alone, 90 points were achieved. We are currently in the COVID-19 situation. Therefore, the number of elderly living alone is continuously increasing, and the number of people who cannot benefit from care services will continue to occur. Also, even if the COVID-19 situation is over, the epidemic will happen again. So the care system is essential. The elderly care system developed in this way will provide safety management services based on artificial intelligence-based activity pattern analysis, improving the quality of in-house safety services.

• Health Communication
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• v.13 no.2
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• pp.141-148
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• 2018

Background: The purpose of this study is to identify the degree of emotional labor, mental health care, care performance of certified caregivers for elder with dementia, and the factors that affect care performance. Methods: In order to collect data, structured questionnaire was used for 197 caregivers who worked at 3 dementia specialized facilities located in D city. Data were analyzed by t-test, ANOVA, correlation and multiple regression using SPSS/WIN 20.0. Results: Care performance had negative relationship with emotional labor(r=-.320, p<.000) and mental health(r=-.240, p<=001). Emotional labor had positive relationship with mental health(r=.208, p=.003) And the prediction factors influencing care performance were health status(${\beta}=.363$, p<.001), emotional labor(${\beta}=-.242$, p<.001), mental health(${\beta}=-.223$, p=.001). The total variance was 38.9% by predictors(F=25.978, p<.001). Conclusion: Based on the results of this study, in order to improve the care performance mental health program should be provided and good health management is needed to improve health status. And also it is necessary to develop and apply new strategies to reduce emotional labor of the dementia facility caregivers.

• Korean Journal of Health Education and Promotion
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• v.34 no.1
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• pp.35-45
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• 2017

Objectives: This study thus set out to examine the health literacy and self-care behaviors of community-dwelling elderly patients with hypertension and investigate their relations and influential factors, thus providing basic data to develop a nursing intervention program to promote self-care behaviors among hypertension patients. Methods: The subjects include 180 hypertension patients using community health centers, public senior centers, and welfare centers in Jeju. Results: The subjects scored a mean of 49.8 (${\pm}12.4$) points on health literacy and 55.8 (${\pm}6.7$) points on self-care behaviors. In the results of hierarchical regression analysis, health literacy independently predicted self-care behaviors (${\beta}=.12$, p=.050) after controlling for general characteristics, hypertension-related knowledge and self-efficacy. Conclusions: These results suggest that interventions for improving health literacy are important to enhance elder's ability of self-care behaviors. It is necessary to understand the health literacy of elderly patients with hypertension before providing them with educational intervention and information and to develop appropriate educational materials and intervention programs.

• Journal of Family Resource Management and Policy Review
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• v.25 no.1
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• pp.77-89
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• 2021

This study uses the life course perspective to analyze the health effects of care transition types on elderly persons who care for their spouses. To this end, the care transition types were divided into ① non-care→non-care, ② non-care→care, ③ care→care, and ④ care→non-care, and health was defined as physical health and the absence of depression. The study used the second through sixth datasets(2008-2016) from the Korea Longitudinal Study of Aging. This resulted in 10,199 observations from 3,987 persons, which were analyzed as a panel analysis model using the STATA16.0 program. The analysis found that physical health was lower in the non-care→care and care→non-care transition types than in the non-care→non-care type. Depression increased in the non-care→care and care→care types. These results suggest that practical and social measures are needed to improve physical health and depression in the elderly who are providing care for their spouses.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.3
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• pp.522-532
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• 2012

Purpose: The purposes of this study were to develop an elderly care nursing education program and evaluate its effect on knowledge, attitudes and nursing performance of nurses toward older adults. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. The sample consisted of an intervention group (n=29) that participated in the educational program and a control group (n=30). The data were collected prior to and 6 weeks after the intervention using self-administered questionnaires. Data analyses utilized $x^2$-test, Fisher's exact probability test, and t-test. Results: After the intervention, knowledge and nursing performance about the elderly care increased significantly in the experimental group compared to the control group. However, there was no statistically significant difference between the groups in their attitudes toward the elderly. Conclusion: Findings indicate that to provide better nursing care to the elderly, nurses need to be able to practically apply the knowledge they have acquired from the elder-care nursing education programs in hands-on situations. To achieve this, nurses should work to change their personal attitudes about the elderly. Also, evidence-based guidelines for elderly nursing care, administrative support of institutions, and multidisciplinary approaches are required.

• Journal of Korean Academy of Rural Health Nursing
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• v.3 no.1
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• pp.34-43
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• 2008

Purpose: The purpose of this study was to suggest new direction for domiciliary care for elders provided by public institutions in rural areas. Method: The participants in the study were elders using one of 11 public health care institutions, of which 8 operated day care services exclusively, and 3 operated both day care and short-term respite care services. A survey was conducted using a structured questionnaire that included items on general characteristics of the service users, conditions of the services, personnel, financial status, facilities, and perception of the tasks of the staff. Result: The service content of the day care centers included Western and Chinese medical service, physical services, activities of ADL, nursing care services, meal services and transportation services. Domiciliary care centers provided a wide variety of health and social welfare service for elders. Personnel consisted of 3 to 8 staff for day care centers and 7 to 10 for domiciliary care centers. Both types of centers rely on financial support from local government for operation. The perception of the staff was the need for operation of these centers by public health facilities such as public health centers and sub-centers. Conclusion: The result suggest a need to activate the function of public institutions to provide domiciliary care for elders. For this new change, the role as a social support system must be developed.

• Journal of Preventive Medicine and Public Health
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• v.53 no.2
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• pp.89-97
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• 2020

Objectives: The quality of life (QoL) of the elderly and elder abuse are growing public health concerns. This study aimed to evaluate the prevalence of abuse and the association between QoL and abuse in older adults. Methods: Multistage random cluster sampling, along with valid QoL (LEIPAD: LEIden, the Netherlands; PADua, Italy; Helsinki, Finland) and abuse questionnaires, were used to assess QoL and elder abuse. Path analysis was performed using Mplus. SPSS and AMOS were used for the other analyses. Results: A total of 386 elderly individuals with a mean age of 68.00±6.10 years were interviewed, of whom 200 (51.8%), 289 (74.9%), and 376 (97.4%) were women, educated, and married, respectively. Moreover, 167 (43.2%) had low-to-moderate QoL, and 108 (27.9%) had experienced a moderate level of abuse. QoL and abuse were inversely associated (r=-0.253), with men (β=-0.24) more affected than women (β=-0.21). Musculoskeletal disorders were also strong determinants of QoL in the elderly. QoL was strongly associated with emotional abuse, while abuse was highly related to the social component of QoL. Furthermore, emotional abuse was the type of abuse most significantly associated with the self-care, depression/anxiety, cognitive, and social components of QoL. Sexual abuse, violation of personal rights, and neglect were the main determinants of the physical functioning, life satisfaction, and sexual domains of QoL, respectively. Conclusions: Nearly half of the elderly individuals lacked a high QoL, and at least one-fourth had experienced some form of abuse. Elder abuse was correlated inversely with QoL. Therefore, preventive interventions are recommended to decrease elder abuse in the family, community, and other settings.

• 한국노년학
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• v.31 no.3
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• pp.653-672
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• 2011

The present study empirically confirmed Korean elder's four major pains consisted of poverty, disease, role loss, loneliness and investigated the mediating role of depression between the four major pains and the elder's suicidal thought. To investigate the cause and effect of factors, we conveniently collected 309 samples from 16 Gyungrodangs evenly located in Jeonju and 291 samples, survived the data cleaning such as missing values, outliers, normality and covariance conditions, were analyzed by frequency, factor analysis, reliability, confirmatory factor analysis and structural model analysis. Followed were the selected contributions of the present study. First, the constructs of four major pains such as poverty, disease, role loss, loneliness were predictors of suicidal thought mediated by depression. Second, the elder's poverty, that was the heaviest factor of the four major pain constructs, was a predictor of role loss leading to loneliness. Third, four major pains were predictors of the elder's depression. Note that poverty were not direct but indirect predictor of depression. The present study confirmed the concept of four major pains. Also those who practice in the area of the elderly care should consider the four major pains as well as depression while intervening in the elderly's suicidal thought.

• Journal of English Language & Literature
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• v.56 no.6
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• pp.1339-1360
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• 2010

An analogical reading of socio-historical context of Harold Pinter's The Caretaker employs some postcolonial discursive analyses of postimperial British capitalistic interests in their post war reconstruction. It is also concerned with causes of so-called broken society. The Caretaker dramatizes minimal actions: a tramp is invited by the elder brother; a job as caretaker is offered; he is reluctant to accept the first offer by the elder brother, but is willing to the second by the younger; eventually, he is excluded because he makes noises while dreaming. These trivial actions produce serious and critical speech acts with their socio-historical implications. The tramp Davies is socially and thereby existentially excluded from the centre of the cold, banished to even colder peripheries. The audience face to the question. Why is Davies excluded? This study tries to answer the question, uncovering deep-rooted capitalistic racism, and reading its symptoms. Even after 50 years The Caretaker was staged, post-imperial broken society tries to operate the betrayals of disparity between the cause and effect of what has gone wrong. Pinter confirms that the action of the play takes place in a house in west London. With the city of London as its capitalistic centre, British imperialism lavished much of its wealth which has only served sectional interests dividing people against themselves. Pinter dramatizes the root of broken society. On the one hand, Pinter foregrounds the very general conflicts between individuals and forms of power; on the other hand, he underlies the very specific strategies of socio-historical exploitation, domination and exclusion.

• Journal of Families and Better Life
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• v.20 no.2
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• pp.97-111
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• 2002

Despite the substantial increase of the elderly population in Korea, welfare policies such as housing programs have not been developed enough to meet the diverse needs of the aging people. Particularly, caring for elderly dementia patients is becoming a serious social problem in Korean society. Families are still primarily responsible for taking care of the elderly dementia patients, and thus are suffering from tremendous caregiving burdens. In many Western countries, group homes, which are small-scale care facilities with home-like atmosphere, have become common housing alternatives for elderly dementia patients. Group homes effectively create a therapeutic environment while helping reduce the elder care burdens for the families. This article proposes to review group homes as a housing option for the elderly with dementia in Korea. The purpose of this article is to make suggestions for housing policies, separately or as a part of more general welfare policies. Based on the questionnaire survey conducted on 912 persons currently residing in Seoul and five different provinces, various possible policies and suggestions to promote establishing group homes and other facilities for elderly dementia patients are discussed in this article.