• Journal of East-West Nursing Research
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• v.25 no.1
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• pp.9-16
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• 2019

Purpose: The aim of this study was to investigate the influences of nurses' empathy and self-efficacy on nursing care of older adults in an integrated nursing care services (INCS) unit. Methods: The participants were 210 nurses caring for elderly patients in the INCS unit in Korea. Data were collected using self-report questionnaires from February 9 to February 23, 2017. The questionnaires are composed of empathy construct rating scale, self-efficacy scale and nursing care of older adults scale. Results: The mean age of the participants was 29.9 years old. There were significant positive relationships between age and clinical career (r=.78; p<.001), self-efficacy and empathy (r=.33; p<.001) and empathy and nursing care of older adults (r=.25; p<.001). The quality of nursing care of older adults were significantly different according to working experience in psychiatric unit (p=.021). Influencing factor of nursing care of older adults was empathy (${\ss}=.29$; p<.001), which explained 30% of the variance. Conclusion: The findings of this study indicated that attention should be given to empathy of nursing care of older adults and numerous efforts should be made to improve nurses' empathy for quality elderly care.

• Journal of The Korea Institute of Healthcare Architecture
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• v.17 no.4
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• pp.7-14
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• 2011

This paper is intended to suggest some reference materials for future elderly housing design, especially smart home, in Korea, by reviewing the elements and applications of smart home concept for older adults in USA. Research method includes collecting materials by attending the regular SmartHome$^{(R)}$ part meeting, the navigation of related homepages, and the analysis of collected materials. Current researches in Korea look initial stage and show some general principles without practical concept & technologies of elderly facilities. SeniorSmart$^{(R)}$ Center in USA started on August 2007 with the 3 parts of SmartHOME$^{(R)}$, SmartWHEELS$^{(R)}$ and SmartBRAIN$^{(R)}$. The Center has been doing various multidisciplinary research projects but slowing down the planned processes due to national economic recession. The major researches of SmartHome$^{(R)}$ part can be summarized as follows; CS-PFP( Continuous Scale Physical Function Performance) laboratory is being in operation to help older adults and families make the difficult decision regarding the ability and safety to live independently. Three levels of necessary laboratories from uninhabited space to senior living environment were accommodated for field research. As core technologies of SmartHome$^{(R)}$, predicting & warning system of fall risk on recognizing gait signature patterns to identify any deviation from the normal patterns of the older adults, home monitoring system which will send alerts to a specified relative and/or health care professional when vital signs of the older adults will not be within normal parameters, and Mobility & Research Clinic for evaluating, treating the older adults & multidisciplinary research are under development. SmartHome$^{(R)}$ has made collaborative research agreements for field laboratory with various retirement communities and also is continuing to work for experimental software engineering with the Fraunhofer Institute, Germany.

• Korean Journal of Applied Biomechanics
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• v.31 no.4
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• pp.259-269
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• 2021

Objective: The purpose of this systematic review and meta-analysis was to investigate age-related bimanual coordination functions in older adults. Method: Thirteen studies that compared bimanual coordination functions in older adults with those in healthy young adults qualified for this meta-analysis. We additionally categorized 21 total comparisons from the 13 qualified studies into two types of task-related moderator variables: (1) kinematic versus kinetic movements and (2) symmetry versus asymmetry movements. Results: Random effects model meta-analysis found that older adults revealed significant bimanual coordination impairments as compared with young adults (Hedges's g = -0.771; p < .0001; I² = 74.437%). We additionally confirmed specific bimanual coordination deficits using two moderator variables: 1) kinematic (Hedges's g = -0.884; p < .0001; I² = 0.000%) and kinetic (Hedges's g = -0.666; p = .023; I² = 86.170%). 2) symmetry (Hedges's g = -0.712; p = .001; I² = 74.291%) and asymmetry (Hedges's g = -0.817; p < .0001; I² = 76.322%). The moderator variable analysis indicated older adults indicated bimanual coordination deficits in the upper extremities than healthy young adults while performing kinematic bimanual coordination tasks and asymmetry coordination tasks. Conclusion: These findings suggest that developing motor rehabilitation programs based on asymmetric bimanual movement task for enhancing interlimb coordination functions of older adults may be crucial for increasing their independence in everyday activities. Given that elderly revealed the deficits in lower extremities coordination when older adults perform gait, posture, and balance, future studies should estimate lower limb coordination functions in elderly people.

• Journal of the Korea Convergence Society
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• v.10 no.7
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• pp.63-70
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• 2019

This study examined the effect of emotional factors, physical factors and socioeconomic factors on suicidal ideation of 75 or older seniors and sought to identify what kinds of factors should be satisfied to prevent their suicide. Using "2017 National Survey of the Elderly", the study conducted survey among 75 or older 3,023 males and 1,295 females. It used multivariate logistic regression analysis to identify the factors affecting suicidal ideation. As a result, the study found that ties with their offspring, the number of chronic diseases, being abused or not, depression and living with or without espouse had significant effects on their suicidal ideation and abuse was the largest factor. Therefore, in order to reduce suicide rate of 75 or older seniors, more active attention should be rendered to their physical, socioeconomic and emotional health problems, and measures to reduce elderly abuse should be sought. In particular, institutional improvement and revitalization of elderly counseling institutions are needed to reduce elder abuse

• Journal of Families and Better Life
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• v.29 no.6
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• pp.105-121
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• 2011

The purpose of this study was to propose ubiquitous housing environment based on older residents' needs for ubiquitous(UT) home services. For this purpose, at the previous study which was the first stage of this study, UT home services by each elderly household based on spouse, income level, and health status were identified and this study finally proposed UT home services by each elderly household type according to residents' level of needs for UT home services. One to one interview with a structured survey questionnaire and illustration was implemented and 204 older residents who were composed of one of six elderly household types were responded. Among 6 types of elderly households, type 2 and 6 were the groups which had higher needs for various kinds of UT home services. Economic status and their health status were the key factors to determine their needs for UT home services. Type 4 and 7 were the groups to express their lower needs for UT home services due to their lower income level and good health condition. Ultimately, two floor plans for type 4 and 5 elderly households were developed to show applicable UT home services in each room of the house.

• Journal of Korean Academy of Nursing
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• v.33 no.6
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• pp.713-721
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• 2003

Purpose: This study was to determine the mediator or moderator role of social support in the relationship between stress and depression among family caregivers of older adults with dementia. Method: Sixty nine family caregivers were randomly selected from health care centers in P city and a face-to-face interview was conducted using questionnaires from January to May of 2002. Data were analyzed with descriptive statistics, Pearson correlation, and hierarchical multiple regression using SPSS program. Result: Family caregivers of older adults with higher dependency in ADLs and higher problematic behaviors, provided care to the older adults for a longer period of time, and perceived less social support reported higher depression. Social support showed mediating effects between stress and depression, while did not show moderating effects. Elderly dependency on ADLs and caregiving duration decreased perceived social support and decreased social support increased depression. Conclusion: To increase family and social support to the caregivers of more functionally impaired elderly, family education to increase emotional support and physical assistance to the caregivers and broader and flexible application of social support such as increasing accessibility to the elderly daycare service with lower price may prove beneficial.

• Journal of the Korea Safety Management & Science
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• v.19 no.2
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• pp.101-106
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• 2017

Purpose The purpose of this study is to investigate the quality of life and stress level of the elderly living alone in their neighborhood volunteers. Methods Data collection was done from July 1 to October 1, 2015 and the data were collected by self-reported questionnaire at Nowon community in Seoul area in South Korea. The subjects were 146 older adults living alone agreed to participate in the study(accepted by IRB). The questionnaire was constructed with quality of life 26 items, 5-point Likert type scale(1-5), stress 15 items, 5-point Likert type. The data were analyzed by descriptive statistics. Results Socially isolated older adults had significantly higher scores ($3.7{\pm}.03$) in quality of life, moderate scores ($2.9{\pm}.03$) in stress. Conclusion The peer support undertaken by older community volunteers was effective in improving quality of life in socially isolated older adults. It is necessary to listen to the voice of elderly people living alone through the activation of volunteer groups in the community.

• Journal of Korean Public Health Nursing
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• v.33 no.2
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• pp.214-227
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• 2019

Purpose: This study examined the socio-demographic factors, the disaster related factors, the physical health related factors and the psychological factors of older adults exposed to natural disaster and these factors may possibly cause the occurrence of PTSD. Methods: A cross-sectional study was designed using the secondary data from the 3rd Disaster Victims Panel Survey (2012-2017). The data from 1,397 disaster victims were analyzed using descriptive statistics and logistic regression analysis. Results: Compared with the younger adult disaster victims, the elderly were more likely to have symptoms of PTSD (15.0% vs. 12.1%). Factors such as the number of years since being exposed to the disaster, anxiety, depression and social adjustment were significantly associated with occurrence of PTSD for both older and younger adults. Female gender was the additional risk factors for the older adults, while marital status, income, having witnessed another person's injury or death, and having lost a home were associated with the occurrence of PTSD. Conclusion: The elderly were more likely to develop PTSD as compared with younger adults. More targeted post-disaster mental health services to the elderly with the symptoms of depressive, anxiety and impaired social adjustments, should be provided to improve their mental health.

• Journal of Medicine and Life Science
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• v.19 no.3
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• pp.79-89
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• 2022

Whereas systolic blood pressure (SBP) continuously rises with age, diastolic blood pressure (DBP) gradually decreases after the age of 55 years. Therefore, hypertension in the elderly shows the pattern of isolated systolic hypertension. There is evidence on the benefits of controlling blood pressure (BP) in elderly patients with hypertension. The BP lowering effect has also been demonstrated in patients over 80 years of age with hypertension. The BP threshold for the initiation of antihypertensive drug treatment for older adults with hypertension is gradually decreasing. The antihypertensive treatment is recommended if, despite therapeutic lifestyle modifications, SBP ≥140 mmHg or DBP ≥90 mmHg in those aged 65-79 years old, and SBP ≥140-160 mmHg or DBP ≥90 mmHg in those aged ≥80 years old. Although there is no consensus on the target BP for older adults with hypertension, a target SBP of <130-140 mmHg and DBP of <80-90 mmHg are recommended. In older adults over 80 years of age with hypertension, the target SBP is <140-150 mmHg. When the dose of antihypertensive drugs is increased to reach the target SBP, DBP may decrease to less than 70 mmHg, but it should not be <60 mmHg. Thiazide diuretics, calcium channel blockers, angiotensin-converting enzyme inhibitors, or angiotensin receptor blockers can be selected as the first-line drug for older adults with hypertension. Beta-blockers may be selected in case of compelling indications.

• The Research Journal of the Costume Culture
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• v.3 no.2
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• pp.323-346
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• 1995

The increasing number of senior citizens, combined with the power of purchasing due to discretionary income have vaulted the elderly into the position of an attractive future target market. Therefore, it would be crucial for marketers to understand elderly's purchasing behavior. The purpose of this study was to identify clothing purchasing behavior of elderly women. For this study, questionnaires were administered to 600 women over 55 years of age. However, the sample that was analyzed fer statistical analysis was involved 418 elderly women. Statistical analysis were majorly descriptives such as frequencies and percentages. The major results of this study were summarized as follows. 1. In relation to problem recognition in purchasing process, motives of purchasing apparel were identified as a happy event in home such as a wedding and a birthday, a change of seasons and a casual discovery of a suitable clothing in shopping, in orders. 2. In relation to information search, important information on apparel and fashionability were thought as display racks in a store, opinion from friends and family and fashionability from others or streets, in orders. 3. In relation to selecting a store in purchasing process, older consumers assessed that attractive price, design suited to my age, variety in one store and apparel product quality were important store attributes, in orders. In terms of a purchase place, older consumers purchased clothing mainly on department stores, wholesale stores such as Namdaemoon or Dongdaemoon market, mainly retail stores located close to home and discount stores of well known brand, in orders. 4. In relation to alternative evaluation in purchasing process, older consumeres considered that style or appearance suited to me, color, design, comfort and fitness were important selection criteria, in orders. 5. In relation to purchase choice, 61.7% of the respondents paid money by themselves and 68.9% paid on cash in purchasing apparel. 6. In relation to outcomes of purchase, older consumers solved their complaint against a unsatisfactory product mainly by returning the unsatisfactory clothing. Also, there were those who took no action against the unsatisfactory product and who altered the clothing for fitness by themselves.