• Title/Summary/Keyword: older-elderly

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Health Status of Dependent Older People and Pattern of Care among Caregivers: A Case Study of Hong Ha Health Promoting Hospital, Lampang, Thailand

  • Wicha, Sumitra;Saovapha, Benjaporn;Sripattarangkul, Sirirat;Manop, Natchapan;Muankonkaew, Thanakrit;Srirungrueang, Supha
    • Asian Journal for Public Opinion Research
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    • v.5 no.3
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    • pp.228-249
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    • 2018
  • In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.

The Relationships among Loneliness, Social Support, and Family Function in Elderly Korean (노인의 외로움과 사회적지지, 가족기능간의 관계 연구)

  • 김옥수;백성희
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.425-432
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    • 2003
  • Purpose: To examine the relationships among loneliness, social support, and family function in elderly Korean. Method: The sample for this study were 290 elderly Korean who were at least 60 years of age. Data were collected by interview using the translated Korean versions of the Revised University of California Los Angels Loneliness Scale(RULS), Family APGAR, and Social Support Questionnaire 6. Result: Subjects were moderately lonely and had moderately functional families. Means for social support were 1.42 for network size and 4.09 for satisfaction. Subjects who lived with their spouses had a larger number of network members than who did not live with spouses. However, living with spouses was not associated with social support satisfaction. The level of loneliness was related negatively to the level of social support network, social support satisfaction and family function in this study. Social support satisfaction and Family function were the significant predictor of loneliness. Conclusion: The number of social supporter and satisfaction and family function should be considered in nursing intervention to decrease the level of loneliness in older adults. Further studies and efforts will be needed to reduce the level of loneliness in older adults.

Factors Influencing Life Satisfaction in Widowhood among Older Women: A Comparison of Three Age Groups (배우자 사별노인의 생활만족도에 영향을 미치는 요인: 연령집단 비교를 중심으로)

  • Jang, Eunha;Hong, Seokho
    • Journal of Family Resource Management and Policy Review
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    • v.24 no.2
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    • pp.89-108
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    • 2020
  • The purpose of this study was to analyze the factors influencing life satisfaction in widowhood among older females. Using the sixth Korean Retirement and Income Study (KReIS) supplementary survey data, a total sample of 1,471 women aged 65 or older whose spouse had died were selected, divided into 508 young-old (65-74), 745 middle-old (75-84), and 218 oldest-old (85+). Then, factors influencing the life satisfaction of these three groups were analyzed, based on a combination of perceived health and interpersonal satisfaction levels. It was found that among the young-old group, a higher level of subjective health perception indicated by monthly income and material support and interpersonal satisfaction linked to more frequent participation in community gathering combined for an overall higher level of life satisfaction. For the middle-old group, higher life satisfaction was provided by monthly income, informational support, and material support for subjective health perception and no diseases for interpersonal satisfaction. The oldest-old group with higher life satisfaction referred to monthly income for subjective health perception and no experience in donation activities for interpersonal satisfaction. Based on these findings, this study provides implications for policy and practice to improve the life satisfaction of elderly women who have experienced their spouse's death.

Determinants influencing oral examination experience behavior of the elderly (노인의 구강검진 실천 행동에 영향을 미치는 결정요인)

  • Kim, Min-Young;Jang, Yun-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.5
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    • pp.585-594
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    • 2021
  • Objectives: This study aimed to understand the effect of factors, possibilities, and desires on oral examination experience behavior of the elderly using raw data from the 2017 Community Health Survey. Methods: Hierarchical logistic regression analysis, an analysis method that controls the input order of a series of independent variables, was performed for 67,835 senior citizens aged 65 and older. Results: In terms of predisposing factors-in women, the higher the level of education, the higher the oral examination practice rate, and the lower the oral examination practice rate in divorce and bereavement among those aged 75 years or older. Regarding enabling factors, the lower the income rating, the higher the oral examination experience rate in religious and social participants as well as, leisure and charity participants, and the lower the oral examination experience rate in the natural environment. Regarding the need factors, the oral examination practice rate was high when the subjective oral health level was recognized as good. Conclusions: As a result, Anderson's model confirmed that various factors affect oral examination experience behavior, and institutional support for policy consensus is needed to promote oral examination experience behavior in older people in various directions.

The Relationship between Status of Chronic Disease and Fall Experience in Korean Elderly: Based on 2015 Community Health Survey (한국 노인의 만성질환과 낙상경험과의 관련성: 2015년 지역사회건강조사를 기반으로)

  • Byeon, Kyeonghyang;Nam, Younghee
    • The Journal of Korean Society for School & Community Health Education
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    • v.20 no.1
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    • pp.113-126
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    • 2019
  • Objectives: The purpose of this study is to understand the relevance of chronic disease conditions and fall experience among people aged 65 and older. and use them as basic data to reduce the risk of falling. Methods: The study selected 26,122 men and 37,777 women aged 65 and over as final subjects of the study, using raw data from the Community Health Survey in 2015. The statistical analysis used SAS 9.4 USA. Results: About 20% of those aged 65 and older experienced a fall, with one in five elderly people experiencing a fall, and the ratio of men to women was 3:7, women higher than men. As the age grew, the lower the level of education, the more senior citizens who lived alone occurred falls. In addition, the incidence of falls was higher when the number of chronic diseases was more than three. The incidence of falls was 1.1-1.5 times higher depending on chronic diseases. Conclusion: The development of education and exercise programs for preventing fall of senior citizens aged 65 and older is required and further study is needed.

A Study on Health Promotion Behavior in Elderly People (노인의 건강증진행위 정도와 영향요인)

  • Song, Mi-Ryeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.4
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    • pp.493-499
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    • 2007
  • Purpose: This study focused on identifying health promotion behavior of older adults, and factors affecting this behavior. Method: The participants in this survey analysis were Koreans aged 65 or over who had the ability to communicate and could do cognitive thinking, and who consented to participate in the survey. The survey questionnaire included items on demographic characteristics, level of depression, social support, activities of daily living, self-efficacy, and health promotion behavior. Data were analyzed using the SPSS Windows 14.0 program. Results: There were significant differences in health promotion behavior according to religion, economy and health status. Levels of depression, social support and self-efficacy had strong correlations with health promotion behavior. The factors that had the greatest effect on health promotion behavior were social support and self-efficacy. Conclusion: As social support and self-efficacy have been found to affect health promotion behavior in older adults, programs developed to enhance health of older adults should include activities to enhance both social support and self-efficacy.

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An Evaluation on the work of Elderly Males and Females (노령자의 작업수행능력 평가)

  • 이근부;오세호
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.27 no.1
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    • pp.51-56
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    • 2004
  • The performance decreases as the workers get older and the degree of decrease in the performance shows a marked difference depending on each individuals. On the other hand, the older workers tend to have better ability to adapt to the new working environments and expert skills. Our purpose in this paper is to focus on the analysis about this conflicting situation, thereby important informations are applied in designing working conditions of older workers. Experimental results show that the expert skill of the aged workers can be improved through the effective use of their experiences, therefore some operation can not be influenced by age.

Ingress/ Egress of Older Drivers Part 1: Analysis of Motion Characteristics (고령운전자의 승/하강 거동 Part 1: 특성 분석)

  • Choi, W.J.;Sha, S.J.;Choi, H.Y.
    • Journal of Biomedical Engineering Research
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    • v.30 no.5
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    • pp.381-392
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    • 2009
  • Due to the aging effect, older people have relatively weaker muscular performance, less range of motion in the joint articulation, and the lower sense of equilibrium than younger people. These factors attribute to their slow and clumsy ingress/egress motion. In order to analyze ingress/egress motion strategy of the elderly, healthy thirty 65 or more years old volunteers were recruited. The health condition of the each volunteer was verified by the medical checkup and also their physical capabilities were quantified by six fitness tests. Through the video analysis, older driver's ingress/egress motion strategies were classified and statistically investigated. For a comparison purpose, another thirty young volunteers also participated in the same test protocol and their ingress/egress motion strategies were also included in the statistical analysis.

A Study on the Development of Resistance Exercise Prescription System for the Health Improvement of the Older Adults (고령자 건강증진을 위한 저항성 운동처방 시스템 구축에 관한 연구)

  • Wang, Jong Soo;Son, Lak Seong
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.6 no.1
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    • pp.69-81
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    • 2010
  • Physical manifestations of aging due to the lack of exercise include the slowing down of motor learning, cardiopulmonary degradation, and the increasing difficulty to adapt to the environment. Aging is manifested with the lack of aerobic exercise work, decrease in muscular endurance, decline in skeletal and muscular strength, flexibility and agility, and the decrease in reaction speed and balance. Added to those are aging-related physiological changes, including the reduction of muscle bulk, increased body fat, decrease in total body water and basic metabolic rate as activities are reduced, and a decrease in cell and Lean Body Mass (LBM). These changes are known to cause problems. Interest and participation in appropriate physical activities among the elderly is needed to help them increase stamina, avoid diseases, maintain a clear intellect, and basically enable the elderly to live their daily lives as easy as possible. Therefore, physical activities are necessary for the elderly to enhance health-related factors. Special exercises should be performed for the enhancement of muscle function, muscle endurance, flexibility, agility, and balance. An accurate measurement of cardio-respiratory endurance and stamina through basic physical and cognitive characteristics of older adults is also required to ensure safety. Also, the development of a more scientific resistance exercise prescription system for the elderly is desperately needed.

Relationship between Social Support, Psychosocial Factors, and Health Behaviors in the Elderly (사회적 지지 및 사회 심리적 요인과 노인의 건강행태와의 관련성)

  • Roh, Yun Ho
    • Health Policy and Management
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    • v.23 no.2
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    • pp.162-175
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    • 2013
  • Background: The purpose of this study was to analyze the association between social support, psychosocial factors, and health behaviors of old adults in korean society. Methods: The data which was used in this study was extracted from the second wave of the Korean longitudinal study of aging in 2008. A total of 3,978 elderly aged 65 years or older were included in this study. We conducted $X^2$-test, t-test for the elderly health behavior in accordance with their social support and psychosocial factors. Also, multivariate logistic regressive analysis was performed in order to find how degree social support and psychosocial factors are associated with health behavior after adjusting sex, age, smoking (alcohol drinking), and other significant variables. The data was processed by SAS ver. 9.1 and Stata SE ver. 11. Results: Social support in older adults was significantly associated with lower smoking, alcohol drinking, exercise, and eating habit. Also, psychosocial factors were positively associated with smoking, alcohol drinking, regular exercise, and eating habit. Conclusion: health behaviors of old adults are likely to be vulnerable to social support and psychosocial factors. To increase effectiveness of the health policy for the elderly in Korea, it is important to adapt new strategy to include the empowerment of elderly's social networks, policy support to enhance subjective expectation, and life satisfaction.