The purpose of this study was to identify the relationships among the perceived health status, activities of daily living, and depression for the elderly at home. The subjects of this study were 403 elderly over 60 years at home. The data were collected through personal interviews using structured questionnaires. The data were analyzed by descriptive statistics and Pearson correlation, using the SPSS 12.0 program. The results of this study were as follows. 1) It was seen that the degree of perceived health status is poor in 62.3%. 2) They could lead an independent daily living in 58.1%. 3) It was seen that contraction of depression was 43.8%. 4) There was a significant relationship among ADL and perceived health status, ADL and depression. However, there was no significant relationship among perceived health status and depression. Based upon above findings, this study give useful information for elderly health policy and intervention program.
The purpose of this study is to explore Women University students' supporting awareness, knowledge and attitude toward the elderly. After obtaining the participants' consent form, survey was performed with structured questionnaire about characteristics, supporting awareness, knowledge and attitude toward the elderly. Collected data were analyzed with SPSS 13.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficients. The result of this study were as follows. 1) Supporting awareness of participants was 115.50±13.19. Participants' knowledge was 10.21±2.90 and attitude was 84.19±12.19. 2) More knowledge and more positive attitude toward elderly were significant related to higher supporting awareness. 3) Supporting awareness of participants was significantly different by religion, monthly pocket money, religious service, supporting parents in the future, living with parents-in-law, though of ideal support system, father-grandmother(paternal) relationship, mother-grandfather(paternal) relationship, mother-grandmother(paternal) relationship and mother-grandfather(maternal). The finding of this study gives useful information for developing an educational management program for women.
The purpose of this research are as follows. The first is to investigate the mediating effect of interpersonal skill on the relationship between the ability to use Internet and social activity among the 50's and 60's. The second is to compare 60's latent mean of core variables with 50's ones in terms of information gap. The data was Seoul welfare panel data made by Seoul welfare foundation in 2008 and the total subject was 941(50's=644, 60's=297). When it comes to the research methods, structured equation analysis for verifying the mediating effect and latent mean analysis for comparing the two groups were practiced. The results of this research are as follows. First of all, interpersonal skill did function as partial mediator. Second, according to the latent mean analysis, the group of 50's showed a more higher level of the ability to use Internet. On the other hand, the group of 60's revealed a more active social participation. In conclusion, Information educational programs should focus on Internet communication skill for enhancing social activities of the elderly and consider the differentiations among the elder generations.
The purpose of this study was to explore the factors related to social participation of Korean young-old adults residing in urban area with a focus on the effects of various motivations. In addition, this study examined gender differences in the relationships between social participation and motivations of social participation. Self-oriented motivation, network-oriented motivation, and society-oriented motivation were considered as motivations of social participation. The study subjects were 836 men and 877 women aged 50-69. The data were collected through face-to-face interviews using structured questionnaires in 2009. Hierarchical regression analysis was conducted to examine the relationships between motivations and the level of social participation using the SAS program. Main results were as follows: 1) The network-oriented motivation and society-oriented motivations were significantly related to the level of social participation; 2) Although men and women significantly differed in the patterns of social participation, gender differences were not found in the relationships between the social participation and motivations. These findings imply that network-oriented motivation and society-oriented motivation are important for facilitating the social participation of Korean young elderly. Further implications were discussed.
The purposes of the study were (1) to identify the level of successful aging of older people living in a city, (2) to identify associated factors with successful aging, and (3) to identify a risk group for successful aging using classification and regression trees (CART) analysis. One hundred eighty seven older people (>65years) participated in the cross-sectional survey. Trained interviewers collected data with a structured questionnaire on demographic information, Korean geriatric depression score, activity of daily living(ADL), instrumental activity of daily living(IADL), and Young's successful aging instrument in subject's home. A CART analysis split subjects into ten homogeneous small groups based on five determinant factors. Older people who are male, with higher education, living with family, and not receiving Medicaid showed better scores in successful aging than their counter parts. Depression was a strong primary determinant for successful aging. A risk group for successful aging of older people was identified by depression and IADL. An intervention to prevent and manage depression and to improve physical function of older people can be developed to promote successful aging of older people. It is suggested to consider an assessment of depression to develop the policies for older people welfare.
The successful aging paradigm suggests that the elderly keep their social ties and actively participate in various activities in later life. Many Korean studies on aging, however, have overlooked the importance of various social activities and relationships beyond kinship. This article aims to investigate the perceived social activities among Korean elders to comprehend the subjectivity of successful aging. 613 respondents, over 50 years old, are selected from a national survey data which was collected by face-to-face interview based on the structured questionnaire. The respondents are classified into pre old (50-64), young old (65-74), old old (over 75). Major findings are as follows. The social activities are grouped into two sub-categories: 'relational activity' and 'productive activity'. The activity types are different by the age cohorts. Various activities are considered in terms of one's needs or motivations, and properly chosen based on the subjective evaluation during life course. Both demographic variables such as sex, area and social context variables such as marital status, living-together show influence on the activity type choices. Plans for later life and work ethics are important as well. Policies regarding social participation emphasizing productivity should positively consider relational motives, as perceived by the Korean elderly.
This study was conducted to understand current management status of 'day and night care' facilities and to explore the related factors with rates of operation of them. The nationwide mailing survey was conducted with structured questionnaires from July, 14, 2010 to July, 28, 2010. The subjects were 277 facilities (response rate 24.5%). Regarding the types of operating, 79.1% of faculties was run by cooperation, and 17.8% and 3.6% for individuals and national/public institutes respectively. The average of operation rate was 70.15%. National/public institutes showed higher in the rate of operation(79.08%) than 72.49% of cooperations and 57.78% of individuals. The number of manpower was not nearly different by the types of operating bodies, but the number of nurse was significantly different among them. The national/public institutions had 1.07 nurses while individual institutions have only 0.08. We found that facilities run by national/public institutes and founded before 2008 years showed higher rate of operation. In case of providing regular monitoring and evaluation services, and music program for patients showed higher rate of operation. In addition, the number of managers, social workers, and nurses increase the rate of operation. We suggest that quality management and monitoring program for the facilities which run by individuals or established after 2008 years would be developed. We also call for development of programs for facilitating utilization of 'day and night care' facilities such as expanding the family support.
The purpose of this study was to develop the classification of home-based long-term care activities and to test its validity. In this study, the taxonomy of long-term care activities was structured according to the service domain and process. Two expert groups participated in making a draft of the taxonomy that was composed of 7 service domains, 22 care needs, 22 service objectives, and 114 activities. Reliability and validity of the taxonomy was tested in a sample of 152 elderly subjects who used the home-based long-term care services. Based on the factor analysis of 114 activities, 21 factors were extracted from 114 activities. Internal consistency of the factors was high. Content validity was confirmed by the CVI. Long-term care insurance grade was used to assess the criterion validity. Among 21 care needs, 12 cares needs were significantly different from their grade. The classification of home-based long-term care activities demonstrated reliability and validity. In conclusion, the use of this classification is recommended while communicating with the elderly subjects, service providers, and the 3rd party payers.
This study was aimed to prepare the evidences for establishing policies on nursing manpower by identifying the relationship among delegation level of nursing activities, nursing professionalism and turnover intention in long-term care hospital nurses. The study was a descriptive survey research that used a structured questionnaire. 146 nurses agreed to take part in the research. They worked in six long-term care hospitals located in A and B province. Data were collected from July to August 2016 and analyzed through SPSS 20.0 program, using descriptive statistics, t-test, ANOVA and pearson's correlation coefficients. As a results, first, as for the delegation of nursing activities by long-term care hospital nurses, the levels of delegation of direct nursing activities were 34.63±14.12, and the level of delegation of indirect nursing activities were 1.71±1.75. Second, the mean score of nursing professionalism and the turnover intention of long-term care hospital nurses were 3.62±0.77 and 2.71±0.97, respectively. Third, the delegation of direct nursing activities by long-term care hospital nurses significantly differed depending on the number of nurses in the ward and the number of caregivers in the ward. The delegation of indirect nursing activities significantly differed depending on the number of nurses in the ward, the presence of conflicts and stress related to delegation. Forth, there was no significant correlation of the delegation of nursing activities by long-term care hospital nurses with nursing professionalism and with turnover intention. Most of nursing activities, were delegated to nurse aids, since there were no clear guidelines or legal procedures on nursing activities in long-term care hospital nurses. Therefore it is required to find how to clearly establish positive nursing professionalism and to develop a proper nursing manpower arrangement and the guidelines for the delegation of nursing activities in a long-term care hospital in terms of policy.
The purpose of this study was to have a phenomenological understanding of the experiences in the marital relationship after the first baby is born. For this purpose, thirteen couples (marriage duration of less than five years; within three years of the child birth) were recruited and semi-structured interviews were conducted. The interview data were analyzed through the open coding, axial coding, and selective coding. In the next step, we derived the marital relationship paradigm after the first baby arrived. The causal/situational conditions that caused changes in the marital relationship were the parenting burden and the marital adjustment level. The central phenomena were parenting and housework burden, which were moderated by the husbands' support. The action/interaction strategies were couple's high awareness and acceptance for their new role and pursuit of the shared meaning of the family. When the strategies were successful, a deeply satisfying feeling and shared values could be obtained. Finally, we identified the core category to integrate of other categories into a conceptual framework, and that is 'the awareness and acceptance for their new role and the pursuit of a sense of We-ness'.
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