• 제목/요약/키워드: poor elderly

검색결과 468건 처리시간 0.026초

노인의 일상생활수행능력, 우울 및 주관적 건강상태와 영향요인: 사회경제적 상태와 가족지지를 중심으로 (Activities of Daily Living, Depression, and Self-rated Health and Related Factors in Korean Elderly: Focused on Socioeconomic Status and Family Support)

  • 오세은;고영
    • 지역사회간호학회지
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    • 제26권2호
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    • pp.140-149
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    • 2015
  • Purpose: This study was conducted to identify activities of daily living, depression and self-rated health and related factors for Korean Elderly. Methods: Data from the survey for the Korean Longitudinal Study of Aging in 2010 were used. The data were analyzed using frequencies, weighted proportions, and hierarchical multiple logistic regression. Results: Significant difference was observed in health status induced by socioeconomic status between men and women, but not among age groups. Socioeconomic status was strongly associated with self-rated health among male and female elders. Being unschooled and low net family asset were significantly related with dependency in activities of daily living and depressive symptoms among men. Only low net family asset was significantly related with depressive symptoms among women. Family support provides a slight decrease to the negative relationship between socioeconomic status and health status, especially depressive symptoms. Conclusion: This study suggests that interventions to reduce health inequalities should target elderly with lower socioeconomic status and with poor family support, using a gender-specific approach.

The Effect of Vitamin D and Calcium on Cognitive Function and Depression in the Elderly Living in a City

  • Lee, Yu-Jin;Kim, Yun-Su
    • 지역사회간호학회지
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    • 제28권3호
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    • pp.251-259
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    • 2017
  • Purpose: This study aims to examine the influence of vitamin D and calcium on depression and cognitive function of the elderly living alone in a city. Methods: The participants were registered in eight senior centers in S city and they had lived alone. Data were collected between November 28, 2014 and March 7, 2015. A total of 155 people participated in data collection to measure the serum vitamin D, the serum calcium, depression, and cognitive function. The data were analyzed with t-test, ANOVA, Pearson's correlation and multiple regression analysis. Results: There were significant differences in depression according to gender and perceptions of health status. Depression correlated significantly with the serum calcium and perceptions of health status, and a stepwise regression analysis showed that the perceptions of health status were significant. There were significant differences in cognitive function according to education level and age. Cognitive function correlated significantly with the serum vitamin D and a stepwise regression analysis showed that education level and age were significant. Conclusion: Consequently, elderly people with poor perceptions of their health status need a depressive intervention program and those with a higher age and lower level of education need a cognitive function intervention program.

Successful Outcome of Elderly Patients with Advanced Malignant Melanoma by Standardized Allergen-removed Rhus verniciflua Stokes Extract and Bojungikki-tang: Two Cases

  • Jung, Hyunsik;Lee, Sanghun
    • 대한한의학회지
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    • 제35권4호
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    • pp.98-103
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    • 2014
  • Objectives: Advanced malignant melanoma (MM) has a poor prognosis, with an expected 2-year survival rate of 10 to 20%. It has long been recognized as an immunogenic tumor, and is worse for elderly patients. Many studies have suggested that herbal treatments improve immune functions, but few clinical studies have reported on this topic. Patients and History: We present two cases of female patients (72 and 77 years old, respectively) with advanced MM. The 72-year-old female patient was, at first, diagnosed with MM with multiple bone metastases. She received resection of the primary lesion, but refused further chemotherapy. The 77-year-old female patient was diagnosed with cutaneous MM of the left heel, with suspicion of sentinel node lymphadenopathy; however, she also refused any conventional treatment due to old age. Course of Therapy and Results: Both patients were exclusively treated with standardized allergen-removed Rhus verniciflua stokes (aRVS) extract combined with Bojungikki-tang (BT, Bu-Zhong-Yi-Qi-Tang in Chinese or Hochu-ekki-to in Japanese). Both patients are still alive and doing well (Feb. 2014), demonstrating that the 72-year-old patient has lived for 27 months and the 77-year-old patient has lived for 31 months without disease progression since the aRVS and BT administration. Conclusion: We suggest that the combination of aRVS extract and BT could be a candidate for overcoming the cancer's immunoediting process especially for elderly MM patients intolerant of conventional treatment.

부산지역에 위치한 시설원 거주노인의 식생활, 영양섭취상태 및 건강상태에 관한 연구 (A Study on the Dietary Life, Nutritional Status and Health Condition of Elderly in Nursing Homes)

  • 김현주
    • 동아시아식생활학회지
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    • 제7권4호
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    • pp.445-459
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    • 1997
  • The purpose of this study was to investigate of the dietary life, nutritional status and health condition in 100 elderly living in nursing homes in Pusan area. The quality of meals served in nursing homes base on nutrient contents and the state of preferared foods was evaluated by the questionaire and the nutritional status and health condition of subjects were estimated by the analysis of serum components. The results of this study are summarized as follows: 1 Almost all subjects were aged over 70 years and poor-educated. Mean height and weight of subjects were lower than Korean average standard but Body Mass Index(BMI) of those were normal and body fat contents of females were especially high. 2. Protein, vitamin A, vitamin C and Ca intake of subjects were lower than Korean RDA. Subjects preferred pan-broiled for meats and fishes, muchim for vegetables fruits as food between meals. 3. There were no smoking and drinking in almost all subjects. All subjects have taken nutritional supplements, mainly mineral supplements. Prevalence of disease in subjects were in the following order : cardiovascular, stomach, neuralgia in males. The frequency of neuralgia in females was highest. 4. Serum levels of HDL-cholesterol, total cholesterol, triglyceride, total protein, albumin, globulin, Ca and Mg were lower than those of normal ranges. Therefore, it Is necessary to improve nutritional status of the elderly in nursing homes with by increasing the various side dishes and to develop the standard menu for those.

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성남시 독거 노인의 맞춤형 영양 처방 음식 제공 프로그램 효과 연구 (The Effects of Nutrition Evaluation Related to Suitable Food Supply Program for Elders Living Alone in Sung Nam City)

  • 추수경;강남이;이승훈
    • 한국식품영양학회지
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    • 제20권4호
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    • pp.467-475
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    • 2007
  • The nutritional status and chronic disease occurrence of the elderly living in local areas is affected by certain factors, including low energy intakes, low food diversity, poor nutritional quality and living alone. Moreover, elderly people who live alone may have low incomes and be socially isolated. Thus, we have provided them adjustable and balanced menus using standard recipes. In this study, we investigated aspects of nutritional status and living conditions in the elderly status, in relation to food, activities of daily living(ADL), nutrition risk index, average intake of calories and nutrients, the mini dietary assessment index score, depression score, menu satisfaction, menu demand, satisfaction with menu offerings. The result indicated significant nutritional improvements by providing menus to the elders and suggest that by providing adjustable and balanced menus using standard recipes, the nutritional status of isolated elders can be changed and improved.

노인장기요양보험 이용현황과 제도확대방향의 모색 (Observations on Long-Term Care Insurance Utilization and Implication for its Expansion)

  • 윤희숙
    • 보건행정학회지
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    • 제20권3호
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    • pp.104-122
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    • 2010
  • Long-term care insurance has been introduced in Korea a year ago, and we are in a stage requiring to set principles regarding the generosity of coverage and how to gradually extend the coverage. This study empirically analyzes how the long-term care insurance in Korea is operated. Special attention is given to who is the main beneficiary of the long-term care insurance introduction, and what is the factors influencing the elderly's decision to apply for or use long-term care services. Use of a detailed information of individuals' public health insurance and long-term care insurance from administration data made it possible to control for health status, socioeconomic status including family type, housing tenure, income level. Logit models were employed to analyze the effects of various socioeconomic factors on the likelihood of applying and using long-term care services. Also, this study employed a survey questioning whether to ever willing to take other option as a alternative to residential care or home-care and the level of cash benefit for which they are willing to replace the formal care with informal care. The result indicated that although the poorest elderly population groups are in the greatest need for the long-term care service, they are in difficulty using the service due to economic burden. This implies the copayment amount needs to be adjusted in order for the poor elderly group to be able to get the benefit of the long-term care service.

노인의 주관적 건강 인식과 삶의 질이 우울과 자살 생각에 미치는 영향 (The Effects of the Elderly's Subjective Health Perceptions and Quality of Life on Their Depression and Suicide Ideation)

  • 오창석
    • 보건의료산업학회지
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    • 제6권2호
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    • pp.179-191
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    • 2012
  • The study thus examined and analyzed 1,478 people aged 65 or older in the Korea National Health and Nutrition Examination Survey of 2010 to investigate the effects of differences in the elderly's general characteristics and depression & suicide ideation and in their subjective health perceptions and quality of life on their depression and suicide ideation. As a result, Significant differences in their suicide ideation were also caused by such quality of life variables as ill in bed, exercise capacity, self-management, daily activity, pain and uncomfortableness, and anxiety. The logistic analysis results of depression and suicide ideation according to the degree of subjective health perception show a significant finding that the better health perception they had compared with their very poor subjective health perception, the lower the odds ratio became. In the category of quality of life, only experience of uncomfortableness caused significant results on suicide ideation and depression. The results of the study will be of great use as basic data to intervene in the suicide route of the elderly and take measures to prevent suicide.

도서지역 여성독거노인의 신체적 건강, 경제상태, 사회적 관계의 실태에 관한 연구 (A Study on physical health, economical state and social relations of women elderly living alone in an island)

  • 장희선;김윤정
    • 농촌지도와개발
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    • 제17권2호
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    • pp.233-259
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    • 2010
  • The purpose of this study is to find out about how are physical health, economical states and social relationships of women elderly living alone in an island. The measurement variables are subjective health status, satisfaction of life and a feeling of depression through Activities of Daily Life, social supports, social network and social relationship. First, the ADLs of the aged women living alone in the island are that can't do themselves 23.4%, and need to other's help on their walking 23.4%, bathing 6.5%, and going out 10.3%. Second, them answered that is very shortage or shortage with living expenses 46.8%. Average income in a month is under 200thousands won are account for 32% in a rural and 32.4% in an urban but the aged women living alone in an island are account for 35.1%. comparing with that they are living under the absolute poor with a small income less than 300thousands won. Third, social relationships of the aged women living alone in the island are living with an offspring in a same region 50.6%, a neighboring village 11.7%, and living with a relation in same region. At this study differs from other studies are about studying to be compared aged people between rural and urban area. This study is researched comprehensively about more fragility people.

노년기 여성의 우울정도가 외모에 미치는 영향 : 진주지역을 대상으로 (A Study on the Effect of Depression on the Appearance of Elderly Women)

  • 안성아
    • 한국패션뷰티학회지
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    • 제2권1호
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    • pp.86-92
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    • 2004
  • The purpose of this study were to investigate the differences in depression, appearance interest, and appearance adornment according to demographic variables, and how to examine degree of make-up and visit to a beauty shop was influenced by depression, and demographic variables. Subjects were 117 elderly women in their 60's to 70's in Jinju, Korea. There was a significant difference in appearance interest according to age. There were significant differences in appearance interest, makeup, and visit to a beauty shop according to education. That is, the high level group of education had a high degree of makeup, and a high interest in appearance than the low level group. There was a difference in appearance interest and makeup according to healthy condition. That is, the good healthy group had a high interest of appearance, and the high degree of makeup than the poor healthy group. The degree of makeup had an effect on appearance interest and education($R^2=.505$). The visit to a beauty shop had an effect depression(-), yes or no of a mate, and allowance($R^2=.192$).

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다문화가정의 고부만족도, 문화적응스트레스 및 스트레스 대처전략이 노인 우울에 미치는 영향 (Effects of Satisfaction Level in the Relationship between Mother-in-law and Daughter-in-law, Acculturative Stress and Stress Coping Strategies on Elderly Depression in Multi-cultural Families)

  • 정은숙
    • 가정간호학회지
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    • 제24권2호
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    • pp.133-141
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    • 2017
  • Purpose: This descriptive study aims to analyze the effects of the satisfaction level in the relationship between mother-in-law and daughter-in-law, conflicts between them, acculturative stress and stress coping strategies on elderly depression in multi-cultural families. Methods: The survey was conducted on 89 mothers-in-law, aged 65 or older, in multi-cultural families with a foreign daughter-in-law. Data were collected through structured questionnaires, and then were used to conduct t-test, ANOVA, correlation and multiple regression analyses using the statistical program SPSS 21.0. Results: This study found several factors contributing to depression of mothers-in-law in multi-cultural families. Those factors include living alone without a spouse, poor health, a high level of perceived discrimination and a passive reaction in terms of stress coping strategies. Conclusion: A sense of discrimination perceived by the mothers-in-law having a foreign daughter-in-law implies that the people around them and the community should make efforts to reject distorted perspectives and remove prejudice against foreign daughters-in-law. In addition, the mothers-in-law should receive education and training to use more active and positive stress coping strategies in a stressful situation with the foreign daughter-in-law.