• Journal of The Korea Institute of Healthcare Architecture
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• v.14 no.3
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• pp.35-42
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• 2008

The purpose of this study is to provide the fundamental materials for architectural planning of the Multipurpose Senior Center according to regional characteristics, and to analyze the Multipurpose Senior Center at the view of the program and utilization. For the analysis of the actual condition are surveyed 164 respondents und programs in four facilities in Deajeon. The results of this study are as follows; 1. the characteristics, problems and demands of the section of social education, the counseling, the medical rehabilitation, the sports education, etc. 2. the consideration factors for the planning of the program and volume of the Multipurpose Senior Center on the basic of the rate of increase in population of the Elderly in regions.

• Journal of The Korea Institute of Healthcare Architecture
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• v.13 no.1
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• pp.27-35
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• 2007

According to the 2005 Korean census, the 65 and over population now exceeds 9.5% of the total population and is growing rapidly. Meeting elderly environment and care needs of this rapidly growing segment of the population becomes a major challenge for public policies and planners. Since great deal amount of elderly will reside in their houses, aging in place concept becomes important. For the success of aging in place, the quality of individual house unit, community support systems, and quality of senior center of the community are crucial. Since elderly environments and facilities serve not only medical and/or care programs but also social activity program in aging society, senior centers need to promote social activities and other care programs. The purpose of this study is to analyze characteristics of environmental affordance of a well received senior center in Tokyo, Japan. In order to analyze the characteristics, Murtha & Lee user benefit criteria and Lawton's environmental affordance approaches were used. As results, design characteristics and interior elements which provide environmental affordance were enumerated by type of space. Based on needs and user benefit criteria, those features were analyzed. This study shows design characteristics, elements, and attributes which are well received and utilized by elderly users.

• Journal of Korean Academy of Nursing
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• v.38 no.2
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• pp.332-343
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• 2008

Purpose: This study was done to investigate the practice level of 14 health behaviors between male (N=139) and female (N=175) elderly and to identify the barriers to each health behavior of elderly people in Korea. Methods: Data were collected from 314 elderly people (65yr and older) living in metropolitan, urban, and rural areas. Descriptive statistics, $x^2$-test and ordinal logistic regression were used in data analysis using the SPSS Win 15 version. Results: 1) The performances were different in some health behaviors between male and female elderly people. Male elderly showed better performances in balanced diet, regular exercise, and more than 30 min of exercise, while female elderly showed better performances in restriction of fat and cholesterol, restriction on alcohol, and smoking. There were no differences in stress management and health prevention behaviors between the two groups. 2) The common significant barriers in health behaviors of the elderly in Korea were the lack of habit and physical discomfort. However, the lack of perceived benefit was a significant barrier in male elderly. Lack of time and lack of family support were significant barriers in female elderly people in Korea. Conclusion: These results suggest that tailored strategies should be developed considering the gender difference to reduce the main barriers of each health behavior in order to improve the health status of elderly people.

• Journal of the Korean Home Economics Association
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• v.44 no.8
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• pp.47-61
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• 2006

The study analyzed the characteristics of the daily life and the living arrangements use of the elderly with literature review after the modernization period based on the daily life perspectives. The changes in the ideology, social system, and family system, which influenced the society and families, also affected the status of the elderly and their daily lives. Consequently, they had been facing conflicts, acceptance, and internal differentiations. The characteristics of the changes in the daily lives of the elderly in different periods were as follows. The contents were written from three different perspectives, phenomenological, symbolic interaction, and Marxist. During the modernization period, the family system and the hierarchy within a family had been reformed. However, the elderly were still considered as the symbolic leader and the respected figure of the family. From a phenomenological perspective, elderlies teach the next generations and influence the family's lives. On the other hand, from a perspective of symbolic interactions, spatial adjustment behaviors toward the largest room between the elderly and the next generation were detected. The actual authority was given to the next generation. However, the elderly were still treated as the symbolic authority. Yet, as the society became more industrialized, conflicts aroused about the support of the elderly. Those, who were neglected from the family, even spent their daily time at the elderly center or the community center. The daily lives from the Marxist perspectives suggested that modernization caused the young generations, who were well-educated and had financial powers, to have initiatives. The role of the elderly was reduced and they became negligible people, who spend meaningless daily lives. The interested the Third Ages is a new perspective on the elderly, who were neglected from the industrialized society. From a phenomenological perspective, the Third Ages are the generations that seek and demand for new housing.

• Women's Health Nursing
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• v.9 no.4
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• pp.449-456
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• 2003

Purpose: The purpose of this study was investigate the relationships among perceived social support, instrumental support needs, and depression of healthy, community dwelling elderly women. Method: This study was designed to examine whether the perceived social support and instrumental support were correlated with depression in elderly women. Data were cross-sectional and community-dwelling elderly individuals. The subject was 98 elderly women recruited from Elderly Welfare Center and Community center for Elderly. The instruments for this study were Personal Resource Questionnaire-part II, Geriatric Depression Scale (Short Form), and Instrumental Support Activities Checklist. Data were gathered by means of structured personal interviews. The internal consistency of the instruments was relatively good. Result: The participants' perceived social support was moderately high and instrumental support needs was low. Depression was mild and moderate relatively. The correlation analysis showed that the perceived social support was negatively related to depression and negatively related with instrumental support needs. Conclusion: The findings suggested that more perceived social support, less their depressive symptom in elderly women. It also revealed that the age, marital status, and socioeconomic status of elderly women also are important indicator of the elderly depression. Therefore nursing assessment and the design of intervention that incorporate the determinants supported in this study, such as perceived social support of the elderly women are needed in adopting and maintain health promoting lifestyle for the mental health and effective functioning in later life in women.

• Korean Journal of Adult Nursing
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• v.28 no.3
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• pp.334-342
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• 2016

Purpose: This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly. Methods: This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression. Results: Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly. Conclusion: The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.

• Journal of Korean Biological Nursing Science
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• v.13 no.2
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• pp.134-141
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• 2011

Purpose: Although the risk factors of metabolic syndrome have been extensively studied, the association between osteoporosis and metabolic syndrome has remained unclear in Korean elderly women. Yet to be determined are the effect of risk factors of metabolic syndrome on osteoporosis in these subjects. The purpose of this study was to investigate how the risk factors of metabolic syndrome affect the bone mineral density in Korean elderly women. Methods: One hundred twenty one elderly women from a community center in Seoul elderly welfare center participated in this study. A structured questionnare was used to assess their demographics and lifestyles. Participants' anthropometric information was also obtained by measuring heights, weights, and waist circumferences. The blood samples were also obtained to measure blood glucoses and blood lipids. Bone mineral density was measured with the use of ultra sono. Results: The prevalence of metabolic syndrome in our subjects was 58%. In multivariate regression analysis, fasting plasma glucose level (p=.036) and triglycerides (p=.006) were significant factors predicting bone mineral density after adjusting age and other factors of metabolic syndrome. In age-adjusted analysis, women with metabolic syndrome had significantly higher bone mineral density as compared to those without metabolic syndrome (p=.026). Conclusion: Bone mineral density among elderly Korean women is associated with the level of blood glucose and triglycerides.

• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.5-13
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• 2007

Purpose: The purpose of this study was to identify the relationship between physical activity and sleep patterns of the elderly. Methods: The subjects of this study were 154 elderly who visited a community senior center in Korea. Data was collected by an interview and a self reported questionnaire, during the period from June to October, 2006. Physical activity was measured by IPAQ Korean version(2006), and sleep pattern by Korean Sleep Scale A developed by Oh et al.(1998). Results: The prevalence of chronic illness in the subjects was 73.4 %. The mean time of vigorous activity was $6.62{\pm}31.27$ minutes/day during the past week. Moderate activity time was $28.85{\pm}50.31$ minutes/day and walking time was $28.85{\pm}50.3$ minutes/day. The total sleep time was $397.63{\pm}111.53$ minutes/day. Physical activity of the elderly significantly correlated with sex, chronic illness, job, and sleep patterns of the elderly. Stepwise multiple regression analysis revealed that the most powerful predictor of sleep pattern was the satisfaction of sleep. A combination of the number of chronic illnesses, moderate physical activities(MET), and total time of sleep accounted for 44.4% of the sleep pattern. Conclusions: Moderate physical activity is more effective than vigorous physical activity for improving the sleep quality of the elderly.

• Korean Journal of Community Nutrition
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• v.6 no.4
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• pp.668-677
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• 2001

This study conducted to assess the effectiveness of nutrition education program for elderly females with various diseases. Forty subjects(hypertension ; 20, diabetes ; 12, hyperlipidemia ; 8) out of 56 completed the 7 weeks nutrition education program. The nutrition education program was based for healthy food habits and dietary guidelines for each specific disease. It also included practicing individualized menu planning and exercising program. Energy, calcium, iron, vitamin A and ash intakes significantly increased in the hypertension group. total sodium intake did not decrease, however sodium intake per kcal decreased significantly(p〈0.05). Elderly with diabetes did not show any changes in dietary intakes. Dietary protein, plant fat, ash, and sodium intakes were significantly elevated(p〈0.05), but cholesterol intakes significantly decreased(p〈0.05) in the hyperlipidemic group. Elderly with hypertension agreed strongly with changes of food habits such as increasing milk intake, and decreasing Kimchi, soup, pickles and salty food, and table salt intakes after nutrition education. Diabetic elderly showed significantly improved food habit scores in decreasing white rice intake, sugar intake and increasing sea-weed consumption, vegetable consumption and exercise. Hyperlipidemic elderly did not show much improvement in food habit scores except in biochemical indices. However, mean serum glucose and atherogenic index decreased in the diabetic and hyperlipidemic groups after education, respectively.

• The Journal of Korean Physical Therapy
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• v.20 no.2
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• pp.33-41
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• 2008

Purpose: The aim of this study was to compare the activities of daily living, mental status, and life satisfaction of elderly persons living in home with those in institutions and to investigate the factors influencing life satisfaction and mental health. Methods: Data was collected through interview with persons over 60 years of age in a nursing home and in a community elderly center in Daegu City and Kyoungsang buk-do. Subjects were included 32 persons in the nursing home and 41 persons in the community elderly center. Data collection was undertaken 11 - 22 September 2007. Results: Elderly persons living at home showed higher dependency in instrumental activities of daily living, lower cognitive function, higher depression, and higher life satisfaction than elderly persons living in institution. The two groups were significantly different in this regard. Conclusion: As the age of the general population advances, we must prioritize quality of life in elderly persons by undertaking depression prevention through various means.