• 보건교육건강증진학회지
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• 제34권1호
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• pp.25-34
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• 2017

Objectives: Although the number of the oldest-old is rapidly increasing due to longevity, very little is known about the trajectory of depressive symptoms(DS) and its related factors among the oldest-old. Much less is known about whether the trajectory of DS differs by gender among the oldest-old. The current study aims (1) to estimate the trajectory of DS and (2) to examine whether the trajectory differs by gender among the oldest-old. Methods: Sample consists of 296 persons aged 85 and over who participated in the Korean Welfare Panel Study data. Data were processed using the latent growth curve modeling to estimate the trajectory and multi-group SEM to examine gender difference. Results: This study showed that (1) the trajectory of DS was increasing over time and (2) the DS trajectory of males was much more rapidly increasing than that of females, indicating male oldest old are more vulnerable to depression than female oldest old in later life. Conclusions: Given the fact that females are known to be more vulnerable to depression, the findings are counterintuitive to the previous knowledge on depression and gender difference. Based on the findings, implications for intervention and education related to DS among the oldest-old.

• 대한간호학회지
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• 제39권1호
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• pp.72-83
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• 2009

Purpose: This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis. Methods: The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above. Results: We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms. Conclusion: The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

• 한국컴퓨터정보학회논문지
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• 제29권6호
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• pp.153-165
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• 2024

본 연구는 실버댄스 참가에 따른 초고령 노인의 재미와 여가제약협상 및 운동지속의지 간의 구조적 관계를 검증하고자 하였으며, 여가제약협상의 매개효과를 분석하는데 있다. 현재 D시의 노인건강증진 댄스 프로그램에 참가하는 초고령 노인을 연구대상으로 선정하였다. 측정도구는 재미, 여가제약협상, 운동지속의지로 최종 103부의 설문지를 SPSS WIN VER 24.0과 Amos 26.0 프로그램을 이용하여 신뢰도, 상관관계, 확인적 요인분석 및 구조방정식모델 적용하고, 매개효과는 부트스트래핑 방법을 실시하였다. 연구결과 첫째, 첫째, 재미는 운동지속의지에 긍정적인 효과를 미치는 것으로 나타났다. 둘째, 재미는 여가제약협상에 긍정적인 효과를 미치는 것으로 나타났다. 셋째, 여가제약협상은 운동지속의지에 긍정적인 효과를 미치는 것으로 나타났다. 넷째, 재미와 운동지속의지의 관계에서 여가제약협상이 부분매개 역할을 하는 것으로 확인되었다.

• 임상간호연구
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• 제27권1호
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• pp.77-84
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• 2021

Purpose: Malnutrition affects all age groups, but older adults are particularly more vulnerable to nutritional deficiencies. This study evaluated the age-specific factors affecting malnutrition in hospitalized older adults. Methods: A retrospective study was conducted on inpatient elderly people who received artificial nutrition from 2010 to 2017. Data of demographics, diagnosis, type of nutrition therapy, number of comorbidity, fall risk assessment, Acute Physiologic Assessment and Chronic Health Evaluation (APACHE) score, and intensive care unit admission were collected. Malnutrition was defined as a body mass index (BMI) of less than 18.5 kg/m². Patients were classified as the young-old (65~74 years old), the old-old (75~84 years old), or the oldest-old (85 years old or older). Results: A total of 7,130 older adults were included, and 4,028 patients were classified as the young-old, 2,506 into the old-old, and 596 into the oldest-old. Proportion of malnutrition was higher in the oldest-old compared to the other groups. In multivariate analysis, parenteral nutrition, alcohol, and high risk of falls were factors affecting malnutrition in all groups. Parenteral nutrition and alcohol in the young-old, high risk of falls in the old-old, and male sex in the oldest-old were the factors affecting malnutrition by the age group. Conclusion: Older age was the most significant factor affecting malnutrition. Specific strategies by age are needed to improve nutritional status in hospitalized older adults as influencing factors for malnutrition vary among different age groups.

• 대한간호학회지
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• 제39권1호
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• pp.21-32
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• 2009

Purpose: The purpose of this study was to investigate the level of life satisfaction and the significant factors which impact on life satisfaction of young-old (60-69 yr), old (70-79 yr), and oldest-old (80 yr or above) women. Methods: The participants for this study were 289 elderly Korean women living in the city of Daegu and Kyongpook province. The data were collected using structured questionnaires. ANOVA, Chi-square, and multiple regression with the SPSS program were used to analyze the data. Results: There were statistically significant differences among young-old, old, and oldest-old women regarding the existence of spouse, income, educational status, and religions. The model including variables related to physical, psychological, financial, and social aspects of life, explained variance of life satisfaction of elderly women differently, such as 55% of young-old, 37% of old, and 66% of oldest-old. Finally, self-esteem was the only predictor in explaining the level of life satisfaction among old women regardless age. Conclusion: Based on the findings of the study, implications for practical services for elderly women and recommendations of further study are provided. Nursing interventions should be developed to improve life satisfaction of elderly women according to age differences.

• 한국보건간호학회지
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• 제28권3호
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• pp.419-431
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• 2014

Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

• 한국사회복지학
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• 제61권1호
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• pp.359-382
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• 2009

본 연구는 부정적인 삶의 사건과 일상적인 근심으로 인한 스트레스가 초고령 노인의 삶의 만족에 미치는 영향을 확인하고 나아가서 이러한 영향에 대한 심리사회적 자원의 완화효과를 검증하였다. 213명의 지역사회에 거주하는 85세 이상 노인을 대상으로 기술적 분석, 회귀분석 등이 실시되었다. 주요분석결과를 보면 다음과 같다. 첫째, 초고령 노인들은 건강문제를 가장 중요한 삶의 사건이나 일상적인 근심으로 제시하였다. 둘째, 일상적인 근심으로 인한 스트레스, 수입수준, 자녀와의 동거, 기능손상수준은 초고령 노인의 삶의 만족에 영향을 미치는 데 반해 부정적인 삶의 사건으로 인한 스트레스는 유의미한 영향을 미치지 못하였다. 셋째, 심리사회적 자원 가운데 자녀로부터의 정서적 지지와 노인의 자아존중감은 일상적인 근심으로 인한 스트레스가 초고령 노인의 삶의 만족에 미치는 부정적 영향을 감소시키는 완화효과가 확인되었다. 이러한 연구결과에 따라 자녀로부터의 정서적 지지의 활성화, 자아존중감 향상을 위한 프로그램의 적용 등 초고령 노인의 삶의 만족을 향상시키기 위한 실천적 함의가제시되었다.

• 한국조사연구학회지:조사연구
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• 제12권2호
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• pp.1-26
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• 2011

초고령(80세 이상) 사망률에 대한 양적, 질적 자료의 결여는 한국의 초고령 사망률에 대한 체계적인 연구의 최대 걸림돌이 되어 왔다. 그러나 세계가 경험해 보지 못한 한국의 급속한 고령화는 미래의 인구구조의 근본적인 변화를 초래하게 되어 초고령 사망률의 수준, 패턴, 그리고 추이분석은 더 이상 미룰 수 없는 과제가 되었다. 사망률 추이는 80세 이상(80+) 또는 85세 이상(85+)로 절단된 형태의 과거 사망률 자료를 115세까지의 각 세별 사망률로 확장하여 분석될 수 있다. 이러한 확장은 한국형 표준사망률의 작성이 우선되어야 가능하며 이 표준사망률을 통해 한국의 초고령 사망률의 수준과 패턴의 파악이 가능해진다. 한국형 표준 사망률의 작성은 하나의 관계모형과 11개의 함수로부터 도출되며, 성별로 최적의 모형은 적합도를 측정하는 세 가지의 통계량과 사망률의 세 가지 일치성을 기준으로 선택되었다. 본 논문에서는 작성된 표준사망률을 이용하여 과거의 절단된 사망률을 확장하였고 이 확장 과정에서 필연적으로 발생하는 종단면적인 사망률의 일치성을 해결하는 방안을 제시하였다.

• 한국지역사회생활과학회지
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• 제15권3호
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• pp.121-135
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• 2004

'Long-life' which has been the perennial interest to human beings also carries the risk of multiple losses such as the death of the family members and friends, the loss of physical and cognitive functions. In that regards, living a long life to be the 'oldest-old' could mean not only a 'symbol of successful aging' but also a hardship and low quality of life at the same time. Therefore, the issue of the quality of life of the oldest old has been the subject of the much of the public and research concern in recent days. While there has been increased awareness about the importance of the subjective aspects of the quality of life and meanings attached to the extended life, most researches on the quality of life of the oldest-old have focused only on the objective conditions of the quality of life such as health, economic status and housing conditions. To overcome these limitations this study aims to explore the subject meaning of 'living a long life' in Korean society by investigating centenarians and their caregivers' interpretations of aging experiences. Qualitative data were gathered from the forty-nine Korean centenarians and their caregivers through in-depth interview. Each interview was tape-recorded and transcribed verbatim. Researchers read each transcript a number of times to get some emerging themes. Most striking result was the fact that most of the centenarians express the 'guilty feelings' and try to offer the 'excuses' about their long life. This results were quite contrary to the results of the studies, done in Japan and western countries like Sweden, United States and Germany, where most of the oldest-old express quite positive interpretations about their long-life and take pride in their longevity. Lack of social support, cohort characteristics of the Korean oldest-old and the cultural interpretations linking the death of children to the long life of older generation are given as possible factors to these unique findings of Korean study. The policy implications of the results are discussed.

• 노인복지연구
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• 제73권1호
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• pp.81-109
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• 2018

본 연구의 목적은 초고령 노인의 삶의 변화와 안녕감 수준을 분석하고, 이들의 관계를 규명하는 것이다. 이를 위해 서울 및 경기지역에 거주하는 80대 초고령 노인 8명을 목적표집하여 심층 인터뷰를 수행하고 사례분석 방법으로 분석하였다. 주요 연구결과는 다음과 같다. 첫째, 초고령 노인의 삶의 변화는 신체적 건강 약화, 경제활동 축소, 가족관계 약화의 세 가지 차원으로 나타났다. 둘째, 초고령 노인의 안녕감 상태는 시간 변화에 따라 유지되는 것으로 나타났으나, 현재 자신의 인생을 '희망이 없는 시기', '성취해야 할 목표가 없는 시기'로인식하는 체념적 태도가 함께 발견되었다. 셋째, 초고령 노인의 안녕감에는 가족관계, 건강한 자아가 중요한 영향을 미치는 것으로 나타났다. 넷째, 주제 분석을 통해 참여자들에게서공통적으로 도출된 주제는 '삶의 역동적·부정적 변화', '건강한 가족관계', '지나온 인생에대한 수용과 초월'의 세 가지로 나타났다. 연구결과를 바탕으로 본 연구에서는 한국 사회 초고령 노인의 안녕감 향상을 위한 사회복지 제언을 논의하였다.