• 한국임상약학회지
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• 제24권1호
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• pp.39-44
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• 2014

Purpose: To investigate adverse drug reactions (ADR) and causative drugs in the elderly 65 years of age or older, using Korean spontaneous reporting adverse events reporting database from June 2009 to December 2010. Methods: We estimated the association between ADRs and implicated medications by calculating a proportional reporting ratio (PRR), reporting odds ratio (ROR), and information component (IC). We reexamined the most frequently implicated medications and ADRs, and the seriousness of ADRs. Then, we assessed reports and concordant rate of ADRs due to medications designated as "high-risk" in elderly by 2012 healthcare effectiveness data and information set (HEDIS) or "potentially inappropriate" by 2012 American Geriatrics Society updated Beers criteria for potentially inappropriate medications (PIMs). Results: Among 15,484 elderly reports, data-mining analysis by PRR, ROR and IC showed that 421 drug-ADR pairs were detected as signals (3,189). The most frequently reported ADR and causative drug were urticaria (470) and contrast media agents (647), respectively. One hundred eighty nine ADR cases were graded as serious. Twenty-two kinds of high-risk medications were shown to be implicated in only 0.9% of ADRs. Only thirty-nine cases were consistent with 2012 Beers criteria or HEDIS. Conclusion: These results suggest that management of the other medications including contrast media agents as well as close monitoring of PIMs are necessary for reducing ADRs in the elderly.

• 한국콘텐츠학회논문지
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• 제22권4호
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• pp.592-608
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• 2022

본 연구는 노인주간보호센터를 이용하는 노인들을 대상으로 집단회상프로그램을 실시한 후 정신건강 관련 삶의 질에 영향을 미치는 효과성에 대해 검증하여 사회복지적 개입전략을 제시하고자 한다. 이를 위해 유사실험설계로써 비동일성 통제집단 사전 사후 전후실험설계로 프로그램 참여 노인과 비참여노인을 비교하여 사전·사후 차이를 파악하였다. 본 연구의 결과, 첫째, 집단회상프로그램 참여집단은 비참여 집단보다 삶의 질 정도가 높았다. 둘째, 참여집단의 활력과 정신건강에서 유의미한 결과를 나타냈고, 감정적 역할 제한과 사회적 기능은 유의미한 결과가 나타나지 않았다. 본 연구결과를 토대로 한 결론 및 제언으로, 첫째, 노인들의 활력과 정신건강의 증진에 효과가 있는 집단회상프로그램을 더욱 활성화할 수 있도록 지속적인 연구와 개발이 필요하다. 둘째, 사회적 기능과 감정적 역할 제한의 영역까지 포함한 전체 하위영역에 포괄적으로 효과성이 입증될 수 있는 프로그램 개발 및 개선이 필요하다. 셋째, 노인들의 심리·사회적 효과성이 입증된 다양한 프로그램이 노인주간보호센터에서 시행될 수 있도록 적극적으로 활성화할 방안을 모색해야 한다. 넷째, 서울시의 인증 제도를 도입하여 서비스 질을 향상할 수 있도록 한다. 끝으로 지역사회와의 협력체계를 구축해야 한다.

• 지역사회간호학회지
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• 제10권1호
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• pp.44-52
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• 1999

This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권3호
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• pp.17-26
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• 2011

Nowadays, Korean society is quickly transforming into an aging society. There are lots of problems resulting from old aged society. First of all, in the case of medical service, it is an urgent task to find out what is the most proper care for the elderly in order to reduce medical expenses. It can be said that the geriatric hospital has to be designed to give adequate medical service to the elderly. However, it is hard to find out what the differences is between the general hospital and the geriatric hospital. Especially, the plan of the patient room has to reflect thoughtful consideration relating to characteristics of the elderly due to the fact that there is a close connection between the patient room and residence. Therefore this study aims to suggest the guideline and the plan of the patient room for the elderly.

• 지역사회간호학회지
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• 제13권1호
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• pp.30-38
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• 2002

The purpose of this study was to compare the Depression levels of the poor and elderly as well as the elderly who were residents in a community. The author studied the Depression levels of 117 poor and elderly individuals and 183 elderly individuals all 65 years or older living in Suwon City. This study has been done using a direct-interview structured Questionnaire and Korean Form of Geriatric Depression Scale (KGDS) from May to July in 1999. The results can be summarized as following: 1. With Case and Control group there was no significant difference with respect to gender, age, education level, or religion. But was significantly different regarding marriage state, if subjects were living together, type of residency, province, and place of toilet(P<0.05). 2. Smoking and Hwa-pyung was a large number of case group more than control group. and alcohol was more control group than case group(P<0.05). 3. There was a similiar taking medicine and kind of body symtom of case and control group. 4. The mean score of perceived KGDS of the poor elderlys was 17.87+/-5.97 out of 30. and that of the elderlys was 13.35+/-6.00 out of 30(P<0.001). 5. In a simple correlation analysis of elderlys. education, marital status. residency, son and daughter, position of toilet, elderly center, alcohol, Wha-byung, disease. 6. In a multiple regression analysis, Hwa-byung, elderly center, education, smoking, disease, son and daughter.

• 한국농촌건축학회논문집
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• 제17권4호
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• pp.75-82
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• 2015

The elderly rate in South Korea in 2015 is over 13.1%. Especially, the elderly rate in rural area is high. Senior community project in rural that is being promoted by the government. This study's purpose is to provide the reserch group-home for the elderly in Japan rural area. And this paper provided planning of group-home for the elderly in Korea rural area. For this study, respective 5senior housing of Korea and Japan were chosen as respresenting two nations, and every manager was interviewed on housing pattern. This study suggests the planning material as following. First, the effectiveness of the group-home are big. Especially, the elderly was far healthier. Design point is public space(living room, small living room, etc). Maybe, healthy group-home concept is that would be design by Korean traditional housing. Also important public space design is that would be inner courtyard-house, wood floor, Deachong, etc. Two group-homes will construct elderly welfare facilities in between. Otherwise that is need layout of a big public space. In the case of vacant house can used by considering of scale, structure, site condition. Closed school can used through so easy remodeling too. More often than not complex type(hospital, community heath center) was appeared in Japan rural area. In the case of Korea, recommend complex type in community health center and public building. In this case, considering communication, access, contact, group-home keeps on ground floor. In this paper, we hope to take a lesson from group-home planning source for the elderly in Korea rural area.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.239-246
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• 2016

Purpose: The purpose of this study was to investigate the effect of denture care skills education program on denture self-care, denture satisfaction and subjective oral status among the elderly. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Total 61 elderly who visited a seniors center, Seoul, Korea, participated in this study. Participants were 31 elderly for the experimental group and 30 elderly for the control group. The experimental group received a lesson in denture care skills education program which was developed by the researchers. Using a structural questionnaire, the elderly's perception about denture self-care, denture satisfaction and subjective oral status were measured before and after the intervention. Descriptive statistics, independent t-test, chi-square test, and ANCOVA test were performed using SPSS WIN 21.0. Results: The experimental group showed significantly higher scores in denture satisfaction(p<.001), QOL of oral health(<.001), concern for oral health(p=.005), subjective oral health status(p<.001), bad breath(p=.010), oral dryness(p<.001) and number of denture clearing(p<.001). Conclusion: The results suggest that the denture care skills education program for elderly at a senior center was effective. Further work is required to develop more effective denture care skills education programs and an oral health promotion program to improve the health status of the elderly.

• 대한가정학회지
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• 제40권5호
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• pp.195-210
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• 2002

The purpose of this study were to find out the difference of needs of caring between care-givers and non care-givers, and to suggest the way of lessening vigorous task of care-givers for the elderly with dementia. Data were collected from 130 nationwide respondents intentionally divided into two groups; care-givers and non care-givers in the middle aged with middle and upper income. Collected data were analyzed by frequency, percentage, t-test using SPSS package. Since the result of survey, unexpectedly, showed no difference between two groups, it could be explained as that these two groups commonly had same needs of caring for the elderly with dementia. Major findings were as follow; 1) Most Koreans stiff thought family should be the main care-giver for the elderly with dementia prior to nation or society. 2) Responsibility of caring for the elderly with dementia would be better to be shared with children instead of focusing to a child. 3) They thought ideal residential facilities for the elderly with dementia were small-scale professional dementia facility(group home) rather than home or general elderly housing. 4) Professional dementia care hospital was one of the most needed facilities for the elderly with dementia, followed by short-stay and dar-care center. 5) It was revealed care-giving task was vigorous showing that most care-givers spent 1-5 hours a day for caring, while 13% of respondents spent 11-24 hours a duty. 6) 90% of care-givers took the responsibility of main care-giver because of duty of offsprings or spouses, and wanted to be free from their current circumstances. From the result of this survey researchers would like to suggest the establishment of diverse facilities for professional dementia care to lessen the caring burden for the elderly with dementia: group home, chronic hospital, short-stay, day-care center. Financial support from the government for the housing renovation of the caring families should be considered seriously afterward. It is needed to give the opportunity to select proper paid dementia care facilities according to their income and situation of household.

• 한국치위생학회지
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• 제15권1호
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• pp.73-79
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• 2015

Objectives: The purpose of this study was to investigate the factors influencing on the denture satisfaction in the low income elderly people. Methods: The subjects were 143 elderly people from 60 to 75 years old wearing dentures and receiving consistent follow-up in the public health center in Busan. A self-reported questionnaire was filled out by the elderly people from February 1 to March 1, 2013. The questionnaire consisted of denture satisfaction, social variables, and psychological variables. Data were analyzed by ANOVA and multiple regression analysis using SPSS 18.0. The sociodemographic characteristics included gender, age, and chronic diseases. The recognition of oral health included pronunciation, denture maintenance, mastication ability, and education for denture care. The questionnaire was measured by Likert 5 scale. Results: Gender, chronic disease, denture care instructions, and the self-preception of the oral health after denture treatment were closely correlated with denture satisfaction(p<0.001). Age and the number of repairs were very important factor to denture satisfaction(p<0.05). Elderly women were more satisfied with denture than men and those who had no chronic diseases tended to be more satisfied with denture. Those who received oral care instructions were more satisfied with the denture than those who did not. The younger age group and no repairing prosthetic group tended to be more satisfied with the denture. Conclusions: It is important to provide the denture management services to the low income elderly when they demand the services. The national dental health policy must be focused on connection of the elderly people denture services with the public health center.

• 한국노년학
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• 제32권3호
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• pp.801-817
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• 2012

본 연구는 노인의 평생교육 참여(참여 여부 및 참여 분야)가 자아통합감에 미치는 영향을 살펴보고 노인 생활만족도의 매개효과를 검증하였다. 연구에 활용된 자료는 서울시복지재단에서 실시한 2010년도 서울시복지패널조사이며, 60세 이상의 노인 1,862명을 최종분석대상으로 추출되었다. 연구모형의 검증을 위해 구조방정식을 활용하였다. 연구 결과 첫째, 노인의 평생교육 참여와 자아통합감의 관계에서 생활만족도는 부분매개효과를 가지는 것으로 나타났다. 둘째, 노인평생교육 분야 중 어학 분야에 참여할수록, 문화예술 분야에 참여하지 않을수록 생활만족도는 높게 나타났다. 자아통합감에 있어서는 문화예술 분야에 참여할수록, 자기계발과 취미분야에 참여하지 않을수록 높게 나타났다. 이에 본 연구는 고령화 사회에서 노인의 평생교육 참여가 성공적 노화에 중요한 생활만족도와 자아통합감에 긍정적인 영향을 미친다는 결론에 기초하여 노인평생교육 활성화에 대한 이론적 실천적 함의를 제시하였다.