• Title/Summary/Keyword: older-elderly

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Effects of Diabetic Foot Care Education for the Aged with Low Health Literacy (건강정보 이해능력이 낮은 당뇨병 노인을 위한 발 관리 교육의 효과)

  • Kim, Hyemin;Seo, Ji Min
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.560-570
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    • 2019
  • Purpose: The purpose of this study was to examine the effects of diabetic foot care education for the older adults with low health literacy. Methods: A quasi-experimental design with a non-equivalent control group pretest-posttest was used. The participants who were diagnosed with diabetes, were adults over 65 years old at the welfare center of Y and B city. They were divided into the experimental group (n=32) and the control group (n=31). Inclusion criteria were a score of 5 or under on the Short form of Korean Functional Health Literacy Test and 24 or more on the Korean version of Mini-Mental State Examination. Foot care education was conducted in a small group for 40 minutes, once a week, for three weeks. The education materials are composed of an easy term, picture and photographs to understand easily. Results: The scores of diabetic foot care knowledge (t=4.57, p<.001), foot care self-efficacy (t=6.07, p<.001), and foot self-care behavior (t=4.18, p<.001) were significantly increased in the experimental group compared to the control group. Foot health status was not significantly improved. Conclusion: The findings indicate that this education program can be used as a nursing intervention improving foot care knowledge, foot care self-efficacy, and foot self-care behavior in order to prevent the diabetic foot problems of elderly diabetic persons with low health literacy.

Risk Factors Associated with Cataract and Macular degeneration by in Korean aged 60 years and over (한국인 60세 이상 노년층의 황반변성과 백내장의 위험요인 -국민건강보험공단 노인코호트 자료를 활용하여-)

  • Pak, Hae-Yong;Lee, Eun-Hee;Pak, Yun-Suk
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.273-279
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    • 2017
  • Purpose: This study was conducted to identify factors associated with cataract and age-related macular degeneration in elders. Methods: In total, 341,588 men(44.18%,) and women(61.887%), aged over 60, were recruited from Korean National Health Insurance Service-Senior(2002-2013). We also analysed the factors which determine the prevalence of contract (ICD-10: H25) and age-related macular degeneration(ICD-10: H353) using Cox proportional hazard regression model Results: The subjects who were women, in older age, the group of higher income level, with hypertension, with heart disease, and with diabetes, the prevalence of both contract and age-related macular were increased(p<0.0001). Conclusion: The prevalence of contract and age-related macular degeneration were higher in old age of Korean who has chronic diseases such as hypertension, heart disease, and diabetes. The management of chronic diseases are essentially required in elderly for more healthy eye in aged society.

Detection of EBV-encoded Small RNA from Diffuse Large B-cell Lymphoma Patients by RT-PCR Method

  • Yoo, Tae Hyun;Lee, Min Ho;Park, Min;Lee, Jaewang;Woo, Hyun Jun;Kim, Hyun Woo;Yang, Ji Yeong;Kwon, Hye Jin;Yeon, Min Ji;Kim, Jong-Bae
    • Biomedical Science Letters
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    • v.21 no.4
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    • pp.227-232
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    • 2015
  • Epstein-Barr virus (EBV) has a pathogenic role in several lymphomas including diffuse large B-cell lymphoma (DLBCL). In this study, we detected EBV from formalin-fixed paraffin embedded (FFPE) tissues of DLBCL patients by RT-PCR and compared the sensitivity of the RT-PCR method to in situ hybridization (ISH) method. The RNA was extracted from 91 FFPE samples with DLBCL and amplified with primers targeting EBV-encoded small RNA (EBER) by RT-PCR. When using the RT-PCR method, 13 of 91 patients (14.3%) were positive and among these 13 cases, 7 cases (7.7%) were from > 50-year-old patients that is classified as EBV positive DLBCL of the elderly. In previous results using ISH method, 3 of 91 patients (3.3%) were positive and 2 case (2.4%) were older than 50-year-old. These results indicate that RT-PCR method used in this study shows a higher sensitivity than ISH method. The ratio of male versus female among the EBV positive samples was 1.2:1 with the ratio of male higher. If RT-PCR method having high sensitivity is used simultaneously as well as the ISH method providing the information of the EBV positive cellular location, it is expected that EBV will be more accurately detected.

Health-Related Quality of Life among Women Caregivers of Older Adults with Dementia (치매노인을 부양하는 여성의 건강관련 삶의 질)

  • Kim, Myoung Soo;Kim, Dong-Hee;Kim, Jung Soon;Park, Kyung Yeon;Park, Nam Hee
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.24-34
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    • 2007
  • Purpose: The objective of this study was to define the predictors of health related quality of life(HRQoL) of women caregivers of the demented elderly patients. Methods: The subjects of this study were 140 pairs of patients with dementia and their caregivers. The characteristics of dementia patients and caregivers, Barthel index and SF-36 were measured in this study. T-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression were used for data analysis. Results: The health related quality of life(HRQoL) score of women caregivers was $288.35{\pm}66.10$ for norm based scoring. HRQoL of women caregivers was correlated with patients' ADL, severity of dementia, caregivers' age, burden, and family support. The major factors that affected the physical components of women caregivers of patients with dementia was the age of the caregiver, burden, and ADL which explained 36.0% of HRQoL. The main predictors of women caregivers' emotional state was the caregiver's burden. Conclusion: Patients' support systems must be implemented to improve the physical HRQoL of caregivers. A caregivers' burden relief program needs to be prepared to increase their emotional HRQoL and further studies and efforts will be needed to evaluate those effects.

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Planning of Barrier Free Pedestrian Safety Devices (Barrier Free 보행안전시설 계획)

  • Nam, Doohee
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.13 no.2
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    • pp.217-223
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    • 2013
  • Population aging is a shift in the distribution of a country's population towards older ages. This is usually reflected in an increase in the population's mean and median ages, a decline in the proportion of the population composed of children, and a rise in the proportion of the population that is elderly. Population ageing is widespread across the world. Barrier-free or Design for All concept consists of modifying buildings or facilities so that they can be used by people who are disabled or have physical impairments. Design for All criteria are aimed at ensuring that everyone can participate in the Information society. Safety-related products being easy to adapt according to different needs, or using standardized interfaces that can be accessed simply by using assistive technology. To this end, policy makers and service providers, especially in the ubiquitous technologies, produce new technologies, products, services and applications for pedestrians.

Web-based Interactive Applications and System to Motivate the Rehabilitation of the Brain Disease Patients (뇌질환 환자의 재활 동기 증진을 위한 웹 기반의 상호 작용형 애플리케이션 및 시스템)

  • So, Seong-Seok;Ryu, Mun-Ho;Yang, Yoon-Seok
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.48 no.2
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    • pp.71-79
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    • 2011
  • The rapid growth of the older population and the decrease in the ages of patients suffering from brain diseases yield desperate demands for social rehabilitation methods to help the brain disease patients to come back to their society. This study developed a prototype of an web-based interactive applications and system to motivate the rehabilitation of the brain disease patients by increasing self accomplishment, and strong willingness to recover. For easy access and dynamic interactions, we utilized various programing languages and authoring tools compatible with Web 2.0 environment. The developed system does not need installation of any dedicated software. It provides an open platform in which many useful interactive applications are easily integrated. It will be extended to a system which provide advanced rehabilitation for brain disease patient and the elderly.

Characteristics of Occupational Injuries in the Automobile Parts Manufacturing Industry

  • Yang, Seung Tae;Jeong, Byung Yong;Park, Myoung Hwan
    • Journal of the Ergonomics Society of Korea
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    • v.36 no.3
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    • pp.231-244
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    • 2017
  • Objective: This study aims to understand the occupational injury characteristics of the workers in the motor vehicle parts (automobile parts) manufacturing industry and to present basic guidelines on accident prevention through accident analysis. Background: There occur many occupational injuries in the motor vehicle parts manufacturing industry. But there were few researches for the occupational injuries of the workers in the motor vehicle parts manufacturing industry. Method: This study analyzed the data of occupational injuries of 1,609 workers in the motor vehicle parts manufacturing industry in 2015. The accident characteristics were analyzed by dividing them into worker related factors and accident related factors. Results: Among the occupational injuries of the workers in the motor vehicle parts manufacturing industry, 80.6% of the victims were males, 64.0% were older than 40. 57.8% of the victims were employed by the companies with less than 50 workers. In addition, there was a difference in accident characteristics according to age, work experience, employment type, events or exposures, accident time of the day, agents, natures of injuries and illnesses, injured organs and injured body part. Conclusion: It is important to prevent equipment/machinery accidents. For this purpose, more efforts should be made to establish safety measures faithful to the basics of safety devices and safety work procedures. It is also suggested that prevention of disasters should be intensively carried out for workplaces with less than 50 employees and middle-aged and elderly people. Application: The result can be used to present guidelines for preventative measures for the workers in the motor vehicle parts manufacturing industry including safety education/training.

Medical Care Expenditure in Suicides From Non-illness-related Causes

  • Sohn, Jungwoo;Cho, Jaelim;Moon, Ki Tae;Suh, Mina;Ha, Kyoung Hwa;Kim, Changsoo;Shin, Dong Chun;Jung, Sang Hyuk
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.6
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    • pp.327-335
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    • 2014
  • Objectives: Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated. Methods: Suicides motivated by non-illness-related factors were identified using the investigator's note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status. Results: Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women. Conclusions: Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed.

A Research Study on 60Years Old People Management of Hypertension. (60세이상의 노인들의 고혈압 치료기관별 비용효과 분석과 관리능력에 관한 비교연구)

  • Cho Hyun;Moon Sun Soon;Jung Kyung Im;Hyun In Sook
    • Journal of Korean Public Health Nursing
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    • v.10 no.1
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    • pp.95-105
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    • 1996
  • This study was uncertaken to find an effective management modality for patients with hypertension. Patients 60years or older were selected for this purpose from a general hospital and a welfare center in Pusan and from a public health clinic in Cheju Island. During the month of October in 1984. the management modality for hypertension. the incurred medical expenses. and knowledge about the hypertension were analyzed and compared. The following results were obtained: 1. The a erage total medical expense per year was highest at the general hospital followed by the public health clinic and the welfare center. 2. It was found that the patients chose the public health clinic for its low medical cost. the welfare center for its proximity as well as for its low medical cost. and the general hospital for its quality medical services Also. the study has shown that the prescription of drugs was the major service provided by the public health clinic whereas the blood pressure measurement. the prescription of drugs. and family planning were the primary service offered by the welfare center. Drug prescription and blood pressure measurement were two of the most important services by the general hospital. 3. It was shown that the knowledge of hypertension was highnest at the welfare center whereas the management of hypertension was highest at the public health clinic. Based on above results and considering the chronic nature. it is believed that family awareness of the illness was one of the most important aspects for effective management of the hypertension for the elderly patients. In addition. the health care clinics at every level should come forward to execition of the educational programs and home nursing schomes for the effective management of the hypertension patients.

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Relationships between the sensory, cognitive and physical functions of young-old and old-old individuals (전·후기 노인들의 감각기능, 인지기능과 신체기능 간의 관련성)

  • Jeon, So-Youn;Lee, Sok-Goo
    • Korean Journal of Health Education and Promotion
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    • v.33 no.5
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    • pp.23-36
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    • 2016
  • Objectives: This study aims to define the relationships between the sensory, cognitive and physical functions of young-old and old-old individuals. Methods: Participants were 10,451 elderly individuals aged 65 and above, raw data of a 2014 National Survey on Korean Older Persons was used. To investigate the relationships among the sensory, cognitive, and physical functions, a structural equation model was used. Results: The key analysis results are summarized as follows; 5% had poor vision function(young-old 3.5%, old-old 7.1%), 3.8% had poor auditory function(young-old 1.7%, old-old 6.7%), 33.0% had decline in cognitive function(young-old 30.9%, old-old 35.7%), 3.6% were disabled(young-old 1.6%, old-old 6.3%) and cognitive function influences physical function more greatly than does sensory function. Additionally, in the young-old groups, vision among sensory functions, attention among cognitive functions, and IADL among physical functions, turned out to be the most influential. However, in the old-old groups, auditory function among sensory functions, orientation among cognitive functions, and IADL among physical functions, turned out to be the most influential. Conclusions: This study implies that functions in the young-old and old-old individuals must be considered with all three functions-sensory, cognitive, and physical-together at the same time and that this comprehensive approach is necessary in national policy making.