• Title/Summary/Keyword: independent living community

검색결과 161건 처리시간 0.02초

Factors Affecting Health Related Quality of Life in Korean Perimenopausal Women Using Hierarchical Regression Analysis

  • Jeong, Ae-Suk
    • International Journal of Contents
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    • 제13권3호
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    • pp.65-74
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    • 2017
  • Women's menopause is a natural process that every woman must eventually experience, but changes in hormones before and after menopause can serve to produce life-threatening crises in some situations, with individual differences. Data for the study was elicited from 22,610 Korean women ranging in age from 45 to 55 years in the 2013 Korean Community Health Survey. Statistical analyses was performed using descriptive, t-test, ANOVA, and hierarchical regression analysis using SPSS IBM 20.0 version. Individual characteristics, lifestyle, history of chronic disease(s), psychological and environmental factors were included as independent and EQ5D weights of Koreans were used as dependent variables. The survey subjects consisted of a total 15,505(58.3%) in their 50s, 1,765 (66.5%) in middle and high school dropouts or graduates, 22,174 (83.3%) living in spouses and 10,534(39.6%) in wages. There was a significant difference in HRQOL among all independent variables except drinking and residential areas. Hierarchical regression analysis showed that age, smoking, obesity and other incidental disease factors (fall, angina, asthma, arthritis, osteoporosis, stroke) had a negative effect on HRQOL. The selected independent variables accounted for 22.7% of HRQOL. It is necessary to find a way to improve HRQOL of Korean perimenopausal women, focusing on the significant variables revealed by the study results.

요양병원 장기입원 노인의 재가 전환 경험: 지역사회 통합돌봄 독거노인을 중심으로 (Transition Experiences of the Elderly from Long-Term Care Hospital to Home: Focusing on the Elderly Living Alone of Community Care Project)

  • 황윤희;이가언
    • 지역사회간호학회지
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    • 제32권3호
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    • pp.382-395
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    • 2021
  • Purpose: The purpose of this qualitative study was to explore the transition experiences of the elderly from long-term care hospitals to their homes. Methods: The participants were eight elderly medicaid beneficiaries, who had been the subjects from the community care project in Korea. The data were collected with one-on-one interviews from April to November in 2020, and analyzed by phenomenological steps. Results: The seven themes derived in this study were 'Space to escape', 'Reliable supporter opened the way to discharge', 'Comfortable life at home', 'Obstacles to independent life', 'Struggling to live alone', 'Fence for community life', and 'Energizing in daily life' Conclusion: The results revealed the positive aspects of Community Care program in Korea. However, it is suggested that active communication between hospitals and community care institutions, and improvement of home environment to live in the community before discharge should be required. And system revision is needed to adjust activity in their home and support health problems of the elderly in the early stage of discharge. The results of this study can be referred to as the foundation of transitional care for the elderly.

도시 지역 거주 노인의 연령집단별 삶의 만족감에 영향을 미치는 가족 요인과 지역사회 요인: 사회적 자본의 중요성을 중심으로 (Family and Community Factors Associated with Life Satisfaction of the Urban Community-dwelling Elderly across Age Groups: Focusing on the Importance of Social Capital)

  • 추현식;이한이
    • 지역사회간호학회지
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    • 제33권2호
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    • pp.207-216
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    • 2022
  • Purpose: The aim of this study was to identify differences and influencing factors in the level of life satisfaction among the urban community-dwelling elderly by age group. Methods: The study was conducted utilizing the secondary data of 2017 Seoul Survey in a cross-sectional design. Of 42,688 participants in total, the data of 7,927 adults aged 65 or older were analyzed. The data were analyzed using descriptive statistics, independent t-test, chi-square test, Pearson's correlation coefficients, and multiple linear regression. Results: There were significant differences between age groups, and it was found that the old elderly groups had significantly higher life satisfaction than the oldest elderly group (t=8.37, p<.011). In common, family and community factors influencing life satisfaction in the two age groups were companion animals (old elderly: β=.03, p=.002; oldest elderly: β=.06, p=.021), social network (old elderly: β=.10, p<.001; oldest elderly: β=.08, p=.008), and social support (old elderly: β=.05, p<.001; oldest elderly: β=.08, p=.005). Conclusion: Based on these results, social welfare and nursing care services focusing on social capital and age group-specific interventions are needed to improve life satisfaction of the elderly. This study might provide the possibility and evidence for a program to improve life satisfaction for the urban community-dwelling elderly, including social capital elements.

Identifying Relative Importance of Quality Attributes of Dining Service for Older Adults Using Conjoint Analysis

  • Seo Sun Hee
    • Journal of Community Nutrition
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    • 제7권1호
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    • pp.58-63
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    • 2005
  • Identifying quality attributes with the greatest value to the residents is important if the Continuing Care Retirement Community (CCRC) is to increase the frequency of residents' dining. However, it is not known which specific attribute is relatively more important than others to evaluate foodservice. The purpose of this study is to identify the relative importance of food and service quality attributes in the evaluation of foodservice in CCRe. This study surveyed the independent living residents of three CCRCs in the Midwestern states. Respondents placed great importance on taste and flavor of food which has the highest percentage of utility range ($28.28\%$) and the second greatest on appearance of the server ($23.46\%$) . The important attributes were ultimately used to predict the most preferred choice of food-service for residents. Knowledge of the importance of the attributes would enable the foodservice managers in CCRCs to manipulate those attributes to enhance the residents' perceptions of quality and identify strategies for continuous improvement.

지역사회 재가노인의 건강증진을 위한 한방간호중재 프로그램의 적용효과 (Effects of Oriental Nursing Intervention Program for Health Promotion of the Elderly in the Community)

  • 조영미;류미혜;정다운;석소현
    • 한국콘텐츠학회논문지
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    • 제20권2호
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    • pp.394-404
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    • 2020
  • 목적 : 본 연구의 목적은 지역사회 재가 노인들을 대상으로 한 한방간호중재 프로그램이 신체 건강 상태, 일상 생활 활동 (ADL), 우울증, 삶의 만족도 및 양생에 미치는 영향을 조사하기 위해 수행되었다. 방법 : 본 연구는 비동등성 대조군 전후 설계이다. 연구 참여자들은 서울 일개 지역사회에 거주하는 65세 이상의 노인으로 정상적인 인지 상태와 의사소통이 가능한 노인으로 총 79 명의 노인이 (실험군 : n=39, 대조군 : n=40) 연구에 참여하였다. 대상자는 편의표출통해 모집되었고 무작위 할당법으로 실험군과 대조군으로 선정되었다. 한방간호중재 프로그램은 경락체조와 기공요법의 하나인 팔단금으로 구성하였다. 프로그램은 총 10주 동안 총 20회기로 구성되었다. 측정 변수로는 신체 건강 상태, 일상 생활 활동 (ADL), 우울증, 삶의 만족도, 양생이었고, SPSS WIN21.0에 의해 기술 통계, x2-test 및 독립 t-test를 사용하여 데이터를 분석 하였다. 결과 : 실험군의 신체 건강 상태(t=10.295, p<.001), ADL(t=7.571, p<.001), 우울증 (t=-15.434, p<.001), 삶의 만족도(t=21.257, p<.001), 그리고 양생(t=9.527, p<.001)은 통계적으로 유의한 차이가 있었고 중재의 결과 모든 변수에서 점수가 향상됨을 보였다. 결론 : 본 한방간호중재 프로그램은 지역 사회에 거주하는 노인들의 신체 건강 상태, ADL, 우울증, 삶의 만족도 및 양생을 개선하는 데 효과적이었다. 이 중재 프로그램은 지역 사회에서 노인의 건강 증진을 위해 사용될 수 있다.

쪽방지역 주거기간과 우울증상 경험과의 관련성 (Association between period of living alone in a shabby one-room and depression experience)

  • 김진성;차선화;김창수;박희정
    • 한국학교ㆍ지역보건교육학회지
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    • 제20권2호
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    • pp.37-51
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    • 2019
  • Purpose: This study aims to substantiate a correlation between the period of living alone in a shabby one-room and a depression experience. Methods: We conducted a cross-sectional study using data from the Korea Homeless Survey carried out by the Korea Institute for Health and Social Affairs in 2016. In the study, the data included 485 survey participants who resided in a single room. The period of single-room occupancy being divided into three groups: less than 1 year, 1 to 4 years, and more than 5 years was considered a primary independent variable. The outcome variable which represented a depression experience was measured by CESD-11(The Center for Epidemiological Studies-Depression Scale). We carried out a Chi-square test and multiple logistic regression to evaluate the association. Results: The rate of depression experienced in this population was 77.5%. Almost 83.9% of the participants were reported as being unable to receive the mental health counselling in the last 12 months. After controlling for covariates, subjects who were living in a single room occupancy for 1-5 years(OR=3.89; 95% CI=1.43-10.56) and more than 5 years(OR=2.71; 95% CI= 1.05-6.95) were found to be more likely to experience depression. Conclusions: The results showed that living alone in a shabby one-room had a high correlation with experiencing depression. We proposed that there is a need to develop a new strategy for mental health promotion program for the poor, vulnerable and deprived population.

노인여성의 하지근력 및 평형성 향상을 위한 지역사회 운동프로그램의 효과 (The Effects of Community-based Exercise Program to Improve Leg Muscle Strength and Balance for Elderly Women)

  • 김난수;김종순;이현옥
    • 대한물리의학회지
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    • 제5권4호
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    • pp.569-576
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    • 2010
  • Purpose : This study was aimed at determining the effects of community-based exercise program to improve leg muscle strength and balance for elderly women. Methods : This study was nonequivalent control group pre-post test design. Subjects were assigned to two different groups(exercise group=11, control group=7). Exercise group performed community-based exercise program for 8 weeks. Outcome measures included leg muscle strength, balance, walking velocity, activities of daily living(ADL), exercise self-efficacy and health-related quality of life(QoL). The collected data analyzed by independent t-test and paired t-test. Results : Leg muscle strength, walking velocity and mental component summary(QoL) were significantly improved in the exercise group. But balance and exercise self-efficacy were significantly worsened in the control group. There were no significant difference between groups after 8 weeks of community-based exercise. Conclusion : These results suggested that the community-based exercise program is effective for elderly women in improving leg muscle strength, walking velocity and mental component summary(QoL).

보건의료복지 서비스제공자와 지역주민의 커뮤니티케어에 대한 인식 (Community care perceived by medical welfare service providers and residents dwelling in the community)

  • 손미선;김형수;조종희;고영;김미예
    • 융합정보논문지
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    • 제10권6호
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    • pp.200-208
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    • 2020
  • 이 연구의 목적은 보건의료복지 서비스제공자와 정책대상자인 지역주민의 커뮤니티케어에 대한 인식을 파악 및 비교하는 것이다. 연구대상자는 서울시 J구의 보건의료복지 서비스제공자 68명과 지역주민 95명이었다. 자료 수집은 2018년 12월에 이루어졌으며, independent t-test, chi-square test를 이용하여 분석하였다. 분석 결과 서비스제공자가 지역주민에 비해 커뮤니티케어 정책의 필요성, 방문의료, 방문간호, 방문간병에 대한 동의 정도가 높았다. 돌봄이 필요한 지역주민을 지역사회자원에 연계해 줄 수 있는 정도에 대해서는 서비스제공자가 지각하는 수준이 높았으나, 자립생활을 위한 지역주민 간 자조모임의 활성화 정도는 지역주민이 높게 나타났다. 커뮤니티케어에 소요되는 비용을 위한 건강보험에 일정 보험료를 추가 방식에 대한 동의 정도는 지역주민에서 낮게 나타났다. 두 군 모두에서 커뮤니티케어 정책 실행을 위해 재원 마련과 지역공동체 돌봄 문화가 가장 중요하다고 인식하였다. 그러므로 커뮤니티케어 정책을 효과적으로 운영하기 위해 정책대상자인 지역주민의 인지 수준을 높이고, 정책현황과 정책대상자의 견해 차이를 줄이기 위한 활발한 교류를 통해 지역사회의 돌봄 문화를 정착해나가는 것이 필요하다.

지역사회 기반의 통합적 낙상예방 프로그램이 노인의 근력, 균형능력 및 낙상효능감에 미치는 영향 (Effects of Community-based Comprehensive Fall Prevention Program on Muscle Strength, Postural Balance and Fall Efficacy in Elderly People)

  • 배정이;조성일
    • 대한간호학회지
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    • 제44권6호
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    • pp.697-707
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    • 2014
  • Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using ${\chi}^2$-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

3, 5세 유아의 실행기능과 언어능력의 관계 (Relationship between Preschoolers' Executive Function and Verbal Ability)

  • 김정민;김지현
    • 한국지역사회생활과학회지
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    • 제24권3호
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    • pp.289-300
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    • 2013
  • The aims of this study are to investigate the differences of the preschoolers' executive function and verbal ability according to their age, and to identify whether the preschoolers' executive function is related to their verbal ability. The participants in this study are 151 children, ages 3-and 5-years old from five child-care centers located in a middle-income region of Seoul. Statistical methods used for the data analysis are the frequencies, means, standard deviations, an independent t-test, and Pearson correlation. The major findings are as follows. First, an age difference is found for children's executive function. The 5-year-olds are more likely to succeed on tasks of executive function than the 3-year-olds. Also, age difference is found for children's verbal ability. The 5-year-olds perform better on tests of verbal ability than the 3-year-olds. Last, the 3-year-olds' and 5-year-olds' executive function is related to their verbal ability. Inhibition and cognitive flexibility are significantly correlated with verbal ability. These results suggest that preschoolers' executive function and verbal ability develop during preschool age. These results also suggest that preschoolers' executive function is related to their verbal ability.