• Title/Summary/Keyword: poor elderly

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성남지역 노인 영양교육 프로그램의 효과 분석 (The Analysis of Effect on Nutrition Education Program for the Elderly in Sung-nam Area)

  • 강남이;이정윤
    • 한국식품영양학회지
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    • 제18권4호
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    • pp.357-366
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    • 2005
  • Elder people in Korea was affecting the nutritional status by following factors : low energy intakes, low food diversity, and poor quality of nutrition. Management a nutrition education program was planned to change the elder's nutrition knowledge and improve their nutritional status. There are seven kinds of indicator - knowledge for health questionnaire (before and after education) - we have investigated elderly nutrition education group in Su-Jung ku, Sung-Nam city. The items of surveyed was general characteristics and anthropometric measurement of the elder people, their mini dietary assessment index score, nutritional risk, nutrition knowledge test, and it's valuation comparisons between the before and after every education we did. According to the results of mini dietary assessment index score, the mean was 22.7 at the maximum 30 points and $94.2\%$ of respondents got more than nomal group. The nutritional risk score was the highest in 'high risk' group. Also the results of nutrition knowlede test showed that the mean increase $35.1\%$ of respondents. Therefore, significant improvement results showed by nutrition education programs in elders. These results suggests that the educating nutrition programs fur elder's encouraging eating behavior themselves and changing their knowledge in nutrition.

재가노인의 인지기능장애에 영향을 미치는 요인 (Factors Influencing Cognitive Impairment of the Elderly Residents)

  • 김은주
    • 동서간호학연구지
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    • 제16권2호
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    • pp.122-130
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    • 2010
  • Purpose: This study was aimed at finding factors influencing cognitive impairment which is one of the typical symptoms among the demented elderly. Methods: The number of subjects was 417 elderly residents aged over 65 yr in a community. A cognitive function and a depression level were measured using the Korean Version of Mini-Mental State Examination (MMSE-K) and the Korean Form of Geriatric Depression Scale (KGDS). Alcohol abuse was measured using the CAGE instrument. Chi-square test and Logistic regression analysis were conducted to identify factors affecting cognitive impairment. Results: The prevalence rates of cognitive impairment of the sample was 43.5%. Sex, age, educational level, perceived health and alcohol abuse were strong factors influencing cognitive impairment. However, the effects of smoking, living alone, depression, family history in dementia and stroke were not strong. Conclusion: Risk for cognitive impairment were increased by being female and older than 70 yr, having low education, perceiving health as poor, and drinking alcohol abusively. Therefore, a reinforcement system, continuous research and the development of proper programs should be preformed in order to prevent cognitive impairment.

노인들의 글 읽기에서 나타나는 눈의 움직임 양상과 읽기 노출의 필요성 (Effect of word frequency in sentence reading of older adults with rich reading exposure)

  • 주혜리;고성룡
    • 인지과학
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    • 제34권2호
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    • pp.67-84
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    • 2023
  • 이 연구는 최근 급증하고 있는 대한민국 노인들(만70-75세)을 대상으로 읽기 노출 정도에 따라 집단을 구분하여 문장 읽기 안구운동 추적 실험으로 실시간 데이터를 수집하고, 젊은 성인(만20-28세)과 전반적인 글읽기 양상과 단어 빈도 효과를 비교하고자 했다. 나아가 글읽기 노출이 많은 노인들과 글읽기 노출이 적은 노인들의 안구운동 추적 실험 결과를 통해 글 읽기 수행의 어려움이 노화가 아니라 읽기 노출에도 영향을 미치는 지를 알아보고자 했다. 실험 결과, 글읽기 노출이 적은 집단은 젊은 성인 집단보다 전반적으로 눈이 머무르는 고정시간이 길고 눈의 건너뛰기는 짧았고, 글읽기 노출이 많은 노인 집단은 젊은 성인 집단과 동일한 읽기 양상이 나타났다. 모든 집단에서 단어 빈도효과를 확인하였으며 읽기 노출이 많은 노인 집단, 읽기 노출이 적은 노인 집단 순으로 고정시간이 짧게 나타났다. 또한 글 읽기 노출에 따른 두 노인 집단에서는 상호작용 효과가 나타났지만, 젊은 성인 집단과 글읽기 노출이 많은 노인 집단 차이에서 상호작용을 확인 할 수 없었다. 이는 나이 그 자체가 글 읽기 수행에 영향을 미치는 것이 아니라 노인들의 읽기 노출의 경험이 글 읽기 수행에 영향을 준다는 가능성을 시사한다.

거동불편노인의 구강건강과 삶의 질에 영향을 미치는 요인 (Factors Influencing the Dental Health and Living Quality of the Elderly With Physical Debilities)

  • 박남규;김한곤;김진아
    • 대한치과기공학회지
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    • 제33권4호
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    • pp.413-425
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    • 2011
  • Purpose: This study conducted a survey on the elderly with physical debilities, who are in a medically vulnerable social class, to examine closely their demo-sociological characteristics, unmet needs, dental states, and living qualities and satisfaction levels relating to oral health and social supports to them, and also to prepare the basis for effective public medical policies and health improvement programs aimed at improving the quality of life for the elderly with physical debilities. Methods: Twenty-two elderly care facilities within Jeju Special Self-Government Province participated in the survey. Between 11 January and 5 March 2010, a total of 250 elderly persons(65 and over) with physical debilities were interviewed and their dental health was checked. Results: The results of the survey are as follows. The need for social support for dental care of the elderly with physical debilities was high in the medical institution-supported service (49.6%). The unmet needs for physical care were high in bathing (49.6%) and using public transportation (71.6%). More than half of these surveyed had ten or fewer teeth. The survey found that 31.6% of the participants experienced problems eating, due to poor dental health. Concerning quality of life, 30.5% of those surveyed experienced physical pain. Conclusion: In summary, the ages of the survey participants directly relates to the degree of behavioral debility experienced. The more debility a participant exhibits, the greater is the need for social support and dental care. The dental health of a participant directly relates to a higher quality of life. Good dental health of a participant translate to better quality of life. In light of the fact that the elderly with physical debilities suffer from a lack of accessibility to medical care and worse oral health than do other elderly persons, it is essential to increase accessibility to medical institutions that can provide such services as door to door dental care. Current insurance policies, funding for denture insurance, and free denture and denture-upgrade programs desperately need to be expanded. Therefore, to improve effectively the quality of life for the elderly with physical debilities civil dental medical resources should be encouraged to provide inclusive and prevention-focused medical care. In the public domain, door to door dental care services and cooperation with civil dental care resources need to be improved to increase impartial accessibility to dental medical institutions.

65세 이상 노인에서 사상체질에 따른 식습관, 영양소 섭취상태 및 질병 양상에 관한 연구(II) (Food Habits, Nutrients Intake, and Disease Distribution according to Sasang Constitutions in the Elderly Aged over 65 Years(II))

  • 김연경;조미란;장린;조여원
    • 대한지역사회영양학회지
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    • 제7권1호
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    • pp.76-85
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    • 2002
  • Since the 1970s, the average life expectancy of Koreans has been increasing. Our concerns are not simply about longevity, but also about disability-free life. lately, Sasang constitutional medicine has attracted public attention, especially with respect to the elderly. The purpose of this study was to investigate the food habits, nutrients intake, and disease distribution among the elderly, according to their Sasang constitutions. The results are as follow : The distribution of constitutions of the subjects were Tae-eum 48.8%, So-yang 27.4%, So-eum 22.6%, and So-yang + So-eum 1.2%. In both elderly men and women, body weight, percent ideal body weight, and diastolic pressure of the Tae-eum were significantly higher than those of other constitutions. In both men and women, the level of hemoglobin in the Tae-eum was significantly higher than those of other constitutions. The level of LDL-cholesterol was higher, and the level of HDL-cholesterol was lower in the So-eum elderly women. Food habits of the So-eum were the most irregular, and nutrients intake of the So-eum was lower than that of other constitutions in both elderly men and women. In elderly men, the incidence of hypertension was the highest in the Tae-eum, and the incidence of gastritis was the highest in both So-yang and So-eum. In elderly women, the incidence of fatty liver was the highest in the Tae-eum and So-yang, and gastritis and hypertension were the highest in the So-eum. In the elderly, obese and anemic persons were significantly more in the Tae-eum and the So-eum, respectively. The results of this study showed that there were significant differences of physical, characeristics, food, habits, and distributions of disease for the subjects according to each Sasang constitutions. Intake of nutrient was poor, regardless of Sasang constitutions, in both men and women.

노인장기요양 등급인정자와 등급 외자의 지역사회복지서비스 이용 실태분석 (Analysis on the Use of Welfare Services of Elderly Long-term Care Grade Accredited and Unidentified)

  • 이용재;김효심
    • 디지털융복합연구
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    • 제17권11호
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    • pp.29-37
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    • 2019
  • 노인들은 건강상태가 다소 좋지 않더라도 지역사회에 지속적으로 거주하기 원한다. 그러나 노인의 건강 및 기능상태에 맞는 통합적인 돌봄지원 시스템의 부재로 생활시설을 선택하는 경우가 증가하고 있다. 본 연구는 2017년 노인실태조사를 활용하여 장기요양인정을 신청한 노인들을 대상으로 욕구에 맞는 서비스를 이용하고 있는지를 탐색적으로 논의하고자 한다. 분석결과 첫째, 장기요양인정을 통해 등급을 받은 노인 중에서 경증 노인은 방문요양 등 재가서비스를 주로 이용하고 있었다. 그러나 경증 노인 중에서 일부는 요양시설에 입소하고 있어서 기능 상태에 맞지 않는 서비스를 이용하고 있었다. 둘째, 방문요양서비스가 주야간보호서비스에 비해 월등히 이용이 높아서 노인 상태에 맞는 복합적인 재가서비스가 이루어지지 못하고 있었다. 셋째, 등급 외 노인의 경우 등급인정 노인에 비하여 일상생활 수행을 위한 도움을 충분히 받지 못하고 있었으며, 경로당이나 노인복지관 등 지역사회복지서비스 이용도 낮았다. 따라서 장기요양인정자의 경우 건강 및 기능상태가 경증 임에도 지역사회에 계속 거주하지 못하고 시설에 입소하는 경우가 발생하고 있고, 등급 외 노인의 경우 필요한 지역사회 돌봄 서비스를 적절이 이용하지 못해서 장기요양인정자로 상태가 악화될 가능성이 높은 것으로 판단된다.

일부지역 저소득층 독거노인의 건강 및 영양불량 위험도 조사연구 (The Health and Nutritional Status of Low-Income, Alone-Living Elderly)

  • 이기완;이영미;김정현
    • 대한지역사회영양학회지
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    • 제5권1호
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    • pp.3-12
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    • 2000
  • The nutritional and health status of low-income alone-living elderly(ALE) was assessed in relation to the activity of daily living (ADL) and nutritional risk factors. One hundred and eighty five ALE over 65 years old, living in the Sungnam area, were interviewed in their homes through questionnaires. The results were as follows : 63.6% of the subjects considered themselves in poor the health and only 4.3% of them considered thermselves healthy. 89.7% of the subjects answered that they were suffering from illness and 29.7% were taking medication. The ADL was assessed through 10 checklist items and the average score of the ADL was $84.78{\pm}11.11$(maximum :100) The nutritional risk index(NRI) was evaluated by 12 risk factors and the average score of the NRI was $4.43{\pm}1.38$ (maximumː12) The scores of the ADL were positively correlated with the scored of the instrumental activities of daily living (IADL)(r=0.7523, p<0.001) and negatively correlated with NRI(r= -0.2694, p<0.001) When subjects were divided into nutritionally high risk group(HNARI: TEX>$NRI{\geq}5$) and nutritionally low risk group(LNRI : NRI<5) according to the USA screening basis, 48.9% of the subjects belonged to the HNRI, But 16.9% of the HNRI and 34.4% of the LNRI belonged to the fourth quartile($Q_{0.75}$) of the ADL, the distribution of which showed significant differences(p<0.05) We suggest that the application of the ADL as a screening tool for nutrition intervention programs for the elderly. Oncemore, further research is needed to develop appropriate checklist items for the ADL and NRI along with the screening basis for the NRI 새 diagnose the adverse nutritional status of the Korean elderly.

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노인의 식품선호도와 주관적 구강건강상태의 관련성 (Correlation with subjective oral health status and food preference in elderly people)

  • 박정순;김인자;박소영
    • 한국치위생학회지
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    • 제15권6호
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    • pp.973-981
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    • 2015
  • Objectives: The purpose of the study is to investigate the correlation with subjective oral health status and food preference in elderly people. Methods: Data were extracted from the fifth Korea National Health and Nutrition Survey 2010-2012. The survey data included general characteristics of the subjects, food preference, and subjective oral health status. Food preference was analyzed by assigning score to 63 food categories. The subjective oral health status consisted of toothache within a month, self-perception of oral health, chewing difficulty, mastication difficulty, and speaking difficulty. Data were analyzed by frequency analysis, descriptive statistics, ${\chi}^2$ test, t-test, and ANOVA using SPSS 22.0 program. Results: Elderly men had a tendency to have a liking for all food categories except for fruit. Difficulty in chewing and mastication was shown in those who had older age, lower education, lower monthly income, and national basic livelihood security. Difficulty in speaking was found in those who had older age, lower education, and national basic livelihood security. Self perception of oral health status was closely related to food preference for pulses and potatoes, fish, vegetables and others(p<0.05). Difficulties in chewing and mastication had relation to all food categories excepting cereals, lipids and sugars(p<0.05). Speaking difficulty were significantly different in pulses, potatoes, meat, eggs, vegetables, fruits, milk, dairy products, and others(p<0.05). Conclusions: Poor subjective oral health status was closely related to food preference. It is necessary to educate that maintenance of good oral health is to ingest the balanced nutrition in the elderly people.

성이 교정환장의 치험 예 (Case Reports of Elderly Patients in Aging Society)

  • 박양호;천세환;이규홍;황용인;김윤지;김선아
    • 대한치과의사협회지
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    • 제45권12호통권463호
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    • pp.753-760
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    • 2007
  • 노화가 진행되고 있는 중, 장년층의 교정치료시에 통상적인 교정치료의 방법과 함께 다음과 같은 사항을 고려하여야 한다. 1. 치주질환 존재시 교정치료전 치주치료를 선행하여야 한다. 2. 발치 치료가 필요할 경우 치주 상태 및 치아 상태를 고려하여 발치할 치아를 선정하여야 한다. 3. 기존 보철물 존재시 보철물의 상태, 고정원으로 사용여부, 크기 조절 필요 여부, 환자의 경제적 상황 등을 고려햐여 처치한다. 4. 치료 종료 후 가철식 유지장치보다는 고정식 보정장치를 이용하여 치아의 유지력을 보강하는 것이 권장된다.

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노인간호에 관한 연구 : 집단회상요법이 노인의 우울에 미치는 효과 (A Study on Gerontological Nursing: The Effects of Group Reminiscence on Depression of the Elderly)

  • 하양숙
    • 한국보건간호학회지
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    • 제4권1호
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    • pp.75-82
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    • 1990
  • This study was to examine the effects of group reminiscence on depression of the elderly and to identify the possible use of the independent nursing intervention for reminiscence. The subjects, consisting of 46 elderly residents at D-ku, in Seoul, were divided into experimental and control group. The research was done by non-equivalent control group quasi-experimental design. Data were gathered from Oct. 4th to Dec. 2nd, 1989 through interview by questionnaire and measure the degree of depression by Zung's scale. Group reminiscence, was defined as independent nursing intervention belong to cognitive intervention by nurse. The schedule and content of reminiscence were developed by investigator. Analysis of data were done by frequency, mean, t-test, and Pearsons's correlations. The results were as follows: $\cdot$ There was no significant difference between experimental and control group after pre & post group reminiscence. $\cdot$ The mean depression score was 43.4 all subjects. In addition to, the result of added analysis were as follows; $\cdot$ There was significant difference in the depression score between healthy and unhealthy group according to perception by subjects (P<05). $\cdot$ There was significant difference between above average economic status and poor status according to perception by subjects (p<.05). $\cdot$ Depression of the subjects was related to the duration of widowhood(r=.3980, p=.015). Further research needs to be done on the effects of group reminiscence as independent nursing intervention. This study needs to be replicated in different settings, studied on the assess of psychological well being for the elderly with the exception of depression and to be identified psychological chacaracteristics of the elderly.

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