• Title/Summary/Keyword: elderly center

Search Result 1,827, Processing Time 0.025 seconds

Characteristics of elderly patients with acute poisoning (노인 중독 환자의 특성)

  • Kim, Bo-Kyeong;Jung, Si-Young;Jung, Koo-Young
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.8 no.2
    • /
    • pp.61-68
    • /
    • 2010
  • Purpose: Poisoning is a major health problem for the elderly, and poisoning can cause fatal side effects. However, the characteristics and clinical features of elderly patients with acute poisoning have not been well studied in the previous domestic research. So, we tried to analyze the clinical characteristics and toxic substances of the patients who were 65 years old or older and who were admitted to the regional emergency medical center due to acute poisoning. Methods: We retrospectively reviewed the medical records and poisoning protocols of the patients who were 65 years of age or older and who had with acute poisoning and who visited the ED in our emergency center from January 2005 to December 2009. We collected the demographic information, the gender, the underlying diseases, the causes and toxic substances, the initial presentation, the treatment and the outcomes. Results: A total of 2179 poisoned patients visited the hospital during 5 years, and among them 244 were 65 years of age or older (11.2%). The mean age was $75.6{\pm}6.9$ years and the male:female ratio was 1:1.7. The most common cause of poisoning was suicide (73.4%) and the most common source of poisonous substances was their own drugs. Of the substances used for poisoning, benzodiazepine was the most common drug (25.8%), followed by sedatives other than benzodiazepine (25.4%), insecticide (12.7%), chemical agents (12.3%) and herbicides (8.2%). The most common initial presentation was mental change (64.8%). When comparing the factors between the three elderly groups, there was no difference in gender, the cause, the substances and the underlying disease. The outcomes of treatment included ICU admission (56.1%), a good condition at discharge (12.7%) and admission to a general ward (12.7%). The overall mortality rate was 10.2% for the elderly patients. Conclusion: In this Korean study, unlike the foreign studies, the most common cause of poisoning in elderly patients was intentional poisoning. The admission rate was 68.8% and mortality rate was 10.2%.

  • PDF

Correlation analysis between elderly oral myofunction, oral microorganisms, and cognitive function

  • Kim, Seol-Hee
    • Journal of Korean society of Dental Hygiene
    • /
    • v.19 no.2
    • /
    • pp.161-172
    • /
    • 2019
  • Objectives: This study aimed to analyze the correlation between oral function, oral environment, and brain cognitive function in the elderly. Methods: The subjects were 60 users of senior community center and elderly day care center. The survey was conducted from November to December 2018. Subjects were assessed by oral examination and myofunction test. Oral myofunction was measured using $IOPI^R$ and Lip de $Cum^R$. Survey data were analyzed using the statistical programs of PASW Statistics ver. 18.0. Results: Tongue muscle strength and lips muscle strength was higher in males than in females. The tongue and lip strengths were higher in the <81 years old group than the ${\geq}81$ years old group. Functional tooth analysis showed that there was a ${\geq}15$ teeth group ($40.91{\pm}7.36$) and a <15 teeth group ($32.52{\pm}7.14$). Lip muscle strength analysis showed that the ${\geq}15$ teeth group ($10.54{\pm}3.40$) was higher than the <15 teeth group ($8.20{\pm}2.41$, p<0.05). Tongue muscle strength, lumbar muscle strength, and functional tooth number were lower in the elderly subjects with mild cognitive impairment. Cognitive function was significantly correlated with functional tooth number (r=0.386, p<0.001), tongue strength (r=0.478, p<0.001), and lip strength (r=0.281, p<0.05). Tongue strength was significantly correlated with lip strength (r=0.360, p<0.001) and functional tooth number (r=0.633, p<0.001). Lip strength was significantly correlated with functional tooth number (r=0.376, p<0.001). Conclusions: These results showed that age and functional tooth number influenced oral muscle strength and that the number of functional teeth and oral muscle strength were low in the elderly with mild cognitive impairment. Oral myofunction training and oral care program are suggested to improve the quality of life of the elderly.

Analysis of Influencing Factors on the Outpatient Prescription of Antipsychotic Drugs in the Elderly Patients (노인환자의 항정신병 약물 원외처방 내역에 미친 영향 요인 분석)

  • Dong, Jae Yong;Lee, Hyun Ji;Lee, Tae Hoon;Kim, Yujeong
    • Korean Journal of Clinical Pharmacy
    • /
    • v.31 no.4
    • /
    • pp.268-277
    • /
    • 2021
  • Background: Most antipsychotic drugs studies have been mainly conducted on side effects, randomized clinical trials, utilization rates, and trends. But there have been few studies on the influencing factors in elderly patients. The purpose of this study was to analyze the influencing factors on the outpatient prescription of antipsychotic drugs in the elderly patients. Methods: Active ingredients of antipsychotic drugs in Korea were selected according to the Korean Pharmaceutical Information Center (KPIC)'s classification. Data source was Korean Health Insurance Review and Assessment Service (HIRA) claims data in 2020 and target patient group was the elderly patient group. We extracted patients who have been prescribed one or more antipsychotic drugs and visited only one medical institution. Data were analyzed using descriptive statistics, chi-square, t-test, negative binomial regression. Results: A number of outpatients were 245,197 and prescriptions were 1,379,092. Most characteristics of patients were 75-85 year's old, female, health insurance type, no disease (dementia, schizophrenia), atypical drugs, cci score (>2) and characteristics of medical institution were neurology in specialty, rural region, general hospitals. Results of regression showed that patient's characteristics and medical center characteristics had significant effect on the outpatient prescription of antipsychotic drugs in the elderly patients. Conclusion: This study suggests that national policy of antipsychotic drugs in the elderly patients, with the consideration of the patients' and medical institutions' characteristics, is needed.

Factors Affecting Nutrition Quotient for Elderly (NQ-E) for the Elderly in Changwon City (창원시 노인의 영양지수에 영향을 미치는 요인)

  • Seo, Eun Hee
    • The Korean Journal of Food And Nutrition
    • /
    • v.35 no.2
    • /
    • pp.75-87
    • /
    • 2022
  • The purpose of this study was to identify nutrition quotient for elderly (NQ-E) and to investigate factors affecting NQ-E of the elderly using welfare center and senior citizen's center in Changwon city. A self-administered questionnaire was conducted between June 2021 and early August 2021 for 320 elderly (≥65 years, male, n=52, female, n=268). As a result of the survey, the mean NQ-E score was 61.12, which was within the medium-high grade. The scores of balance, moderation, and dietary behavior factors were within the medium-high grade, while diversity factor was within the medium-low grade. According to the results of the Pearson's correlation coefficient analysis, NQ-E showed positive correlations with the 'with family' (p<0.01), 'education level' (p<0.01), 'health functional foods consumption' (p<0.01), 'monthly household income' (p<0.05), 'nutrition education experience' (p<0.05), 'reading nutrition labeling of health functional foods' (p<0.01), 'perception of the efficacy of health functional foods' (p<0.01), and 'the number of times of leisure activities per week' (p<0.01) and negative correlations with the 'gender' (p<0.05), 'age' (p<0.01), 'smoking' (p<0.05), and 'social frailty' (p<0.01). As a result of multiple regression analysis, 'gender' (p<0.05), 'perception of the efficacy of health functional foods' (p<0.05), 'the number of times of leisure activities per week' (p<0.05), and 'social frailty' (p<0.05) were found to be factors affecting NQ-E. Based on the results of this study, customized services by characteristic, nutrition education, and counseling for the elderly should be implemented and the development of various programs and continuous support of the community are necessary so that the elderly can carry out social exchange.

A Study on the Dietary Status According to Social Frailty Stage of the Female Elderly in Changwon City (창원시 여성노인의 사회적 노쇠 단계에 따른 식생활 실태 연구)

  • Seo, Eun-Hee
    • Journal of the Korean Society of Industry Convergence
    • /
    • v.25 no.5
    • /
    • pp.725-739
    • /
    • 2022
  • This study conducted with 268 female elderly who visited welfare center and senior citizen center in Changwon city to identify the dietary status according to social frailty stage using nutrition quotient for elderly (NQ-E). As a result of the survey, 75.0% of the elderly had no nutrition education. The elderly in social frailty stage was 43.7%, pre-frail was 35.1%, and robust was 21.2%. The scores of NQ-E (61.65), balance (47.78), moderation (86.18), and dietary behavior (55.23) were within the medium-high grade, while diversity (48.37) was within the medium-low grade. Among the balance factor item, there was a significant difference only in the frequency of fruit intake according to social frailty stage (p<0.05). Among the diversity factor item, there were significant differences in vegetable intake (p<0.05) and the rate of eating alone (p<0.001) according to social frailty stage. Among the dietary behavior factor item, there were significant differences in whether to strive for a healthy diet (p<0.05), exercise time and depression (p<0.001), and subjective recognition rate of health (p<0.01) according to social frailty stage. Based on these results, education focusing on various food intake is needed, and continuous support from the government and local governments is needed to connect the social support network of the elderly and support programs to prevent them from going to social frailty stage.

An analysis on the difference in banking app usability by elderly age - Focusing on the PACMAD model - (고령층 연령에 따른 뱅킹앱 사용성 인식에 대한 차이 분석 -PACMAD 모델을 중심으로-)

  • Hyun Suk Joung
    • Journal of Korea Society of Industrial Information Systems
    • /
    • v.28 no.2
    • /
    • pp.61-75
    • /
    • 2023
  • This study aims to evaluate the usability of a banking app that is frequently used by the elderly. To this end, the usability PACMAD(People At the Center of Mobile Application Development) model that can be used in mobile was explained and the usability evaluation was empirically verified for the elderly over 60 years of age. For this study, descriptive statistics and variance analysis were conducted using SPSS 25.0 for 165 elderly people who had experience using banking apps. Looking at the analysis results of this study, efficiency, satisfaction, and effectiveness showed relatively high scores, and learnability, memorability, error, and cognitive load showed relatively low scores. In addition, in the verification of differences by age, it was confirmed that there were differences in all variables by age. These results suggest that the elderly's usability evaluation of banking apps and differences by age could be confirmed, but there is also a limitation that comparison with the general public is difficult because the age is limited to the elderly.

The Effects of Internet Utilization on the Life Satisfaction of the Elderly -The Mediating Effect of Social Activity- (노인의 인터넷활용이 생활만족도에 미치는 영향 -사회활동의 매개효과를 중심으로-)

  • Jeong, Kyu Hyoung;Yun, Ji Hee;Kim, Jong Sung
    • Korean Journal of Social Welfare Studies
    • /
    • v.44 no.2
    • /
    • pp.359-385
    • /
    • 2013
  • The study looked into the effect of internet utilization (utilization frequency and utilization ability in internet) on the life satisfaction level for the elderly in depth. In order to verify the correlation of two variables, a mediating model structured by ego integrity was used which gave out the Seoul welfare panel data created by Seoul welfare foundation in 2010. The total sample size was a group of 1862 elders aged over 60. When it came to our research methods, structured equation analysis was applied to verify the mediating effect and theoretical background. The findings are as follows: First, elderly's utilization frequency in internet is not an influencing factor to life satisfaction and elderly's utilization ability in internet is an influencing factor to life satisfaction. Second, the level of social activity did function as partial mediator on relationship between elderly's utilization ability in internet and life satisfaction. This study indicates theoretical and practical interventions to promote elderly's utilization in internet.

Effects of Muscle Strengthening Exercise Program on Pain, Fatigue, Physical Function in Elderly Women with Total Knee Arthroplasty (근력강화 운동프로그램이 슬관절 전치환술 여성 노인환자의 통증, 피로, 신체적 기능에 미치는 영향)

  • Min, Hye-Sook;Jung, Yun-Hwa;Kim, Eun-Sook;Kim, Seon-Hwa;Choi, Young-Ji
    • Journal of muscle and joint health
    • /
    • v.18 no.2
    • /
    • pp.203-214
    • /
    • 2011
  • Purpose: The purpose of the study was to identify the effects for 4-weeks muscle strengthening exercise program on pain, fatigue, and physical function(muscle strength of leg, walking competence, balance, flexibility of patella) in elderly women with total knee arthroplasty(TKA). Method: Utilizing a quasi-experimental design, 30 TKA patients consisted of the experimental group (n=15) and control group (n=15). The experimental group participated in the muscle strengthening exercise program, twice a day for 4 weeks. Data were analyzed with SPSS WIN 18.0 program, using repeated measure ANOVA. Result: As time goes by, There were significant differences in muscle strength of leg (F=6.60, p<.001), walking competence(F=7.15, p<.001), and balance(F=17.55, p<.001) between the experimental and the control groups. Conclusion: The findings of this study revealed the positive effects of muscle strengthening exercise program in elderly women with TKA.

A Study on the Necessity of Introducing a General Support Center to Assist of the 'Aging in Place' of the Elderly - A Comparison of Japanese Cases and Domestic Situations - (노인의 AGING IN PLACE 증진을 위한 종합지원센터 도입 필요성에 관한 연구 - 일본 사례의 조사 및 국내 현황의 비교 -)

  • Kim, Mi-ran;Lee, Kyung-Hoon
    • Journal of the Architectural Institute of Korea Planning & Design
    • /
    • v.34 no.5
    • /
    • pp.51-60
    • /
    • 2018
  • The purpose of this study is to find ways to improve the quality of life in old age. 'Act on Long-Term Care Insurance for the Aged' has been enforced since 2008 in Korea. But This is not encompass all of the elderly policies. Aging policies service separately each part by residential, welfare, and so on. There are 'Local Community Support Service' and 'Community General Support Center' for seniors as a comprehensive institution in Japan. Local Community Support Service is preventive and regional. And Community General Support Centers are sufficiently provide for each region. Japan can be a leading model of Korea. Therefor it analyzes Japanese cases and compares to the domestic situations in this study. Through this process, this study measures the necessity of the General Support Center for the elderly.