The purpose of this research is to examine the influence to physical health status, economic status, family support, social support and self-esteem which affects to solve depression, and give basic information for developing a program to prevent the aged people gloominess and a way to solve that gloominess. This surveying study was undertaken through personal interview way for 357 aged people who were in the elder's meeting hall, living in elderly welfare institude, or home near Gumi, Gimcheon, and Chilgok regions. For data analysis, SPSS/PC 18.0 and AMOS 18.0 program for frequency analysis, First, In the reason of depression by general distinctive quality, there was a significant difference in sex'educational background'existance of a spouse of the condition of living-together, and personal health condition. Second, affecting factors to religious life were economic condition, family support, and self-esteem. Third, the most serious factor that enhanced depression was physical health. Fourth, It appeared as higher attendence of indivisuals about religion means decrease of the depression. When these result reviewed, to control the depression of aged people, it is necessary to develop and conduct a total program that can detect and manage depression early through measuring the physical health, family support, social support and self-esteem. Especially, participation of religious life is considered to ameliorate the depression of aged people and help them live a good senescence.
Journal of agricultural medicine and community health
/
v.46
no.1
/
pp.23-31
/
2021
Objectives: Frailty and sarcopenia are recent important concepts in elder health care. Sarcopenia is the most important factor influencing frailty, and exercise and nutritional status are known to affect sarcopenia. The purpose of this study was to identify the relationship between nutritional status, sarcopenia, and frailty. Methods: This study was a cross-sectional design. The subjects of this study were 411 elderly people aged 65 or older from 10 villages in Gyeongnam. The survey tools were the K-FRAIL for frailty, the GDS-SF for depression, the SARC-F questionnaire for sarcopenia, and the DETERMINE for nutritional status. Frequency analysis, the chi-square test, and multiple logistic regression analysis were performed using the SPSS 25.0 program. Results: As a result of the chi-square test, there was a significant difference in the nutritional status and the frailty proportion (p<0.001), and there was a significant difference between frailty and suspected sarcopenia (p<0.001). After adjustment, nutritional status was significantly associated with sarcopenia (OR=2.946, p<0.001). In addition, nutritional status was significantly associated with frailty (OR=2.958, p<0.001), and sarcopenia also had a significant effect on frailty (OR=5.898, p<0.001). Finally, even after including sarcopenia, nutritional status had a significant effect on frailty (OR=2.246, p=0.002). Conclusions: Nutritional status can have both a direct effect on frailty and an indirect effect through sarcopenia, and it was found that sarcopenia also affects frailty. Therefore, it is necessary to evaluate sarcopenia and nutritional status and to evaluate their levels in the elderly and to take appropriate interventions.
This study is a qualitative analysis that conducted a focus group interview to analyze the experiences of daily life of the elderly living alone and their chronic diseases management, and to explore the meaning, nature, and difficulties associated with. The subjects of this study were elder who lives alone without cognitive impairment and over 65-year-old. There were total 31 people and divided into 5 groups and they had 60 minutes interview. By this study, there were four themes of 'difficulties of daily life', 'suffering from chronic diseases', 'fear of the future', 'acceptance of life'. In conclusion, the elderly living alone felt difficulty in daily life due to physical aging and chronic illnesses, and they felt that they were accepting life at the same time while feeling the fear of the future situation. Therefore, in order to improve the life satisfaction and life quality of elderly people living alone, it is necessary to provide institutional devices that enable daily life such as meals and laundry to be maintained and to develop of an intervention program in order to maintain physical health. In addition, an intervention program should be developed to reduce the fear of future uncertainty and positively accommodate the life.
In 2007, Long-Term Care Insurance Law was enacted to share the family burden of caring for the elderly who are unable to perform every day living activities due to their old age and chronic diseases such as senile dementia, diabetes mellitus, stroke and more. Backed by this law, since 2008, care workers have been sent to the elderly care centers or each elder's home to help them not only with their recovery from illnesses, but also with general activities from dressing, eating, bathing, walking even to toileting. However, according to the recently released survey by National Human Rights Commission, it has been found that the caring workers are in a very poor working condition including low income, abused blanket wage system, shortage of welfare services, extra works and even sexual harrassment. It is becoming an important issue due to fast-ageing population, the fact that the care workers have had experiences of violation in their right of labor while they are at work needs to be carefully treated. In that sense, this article presents some difficulties the caring workers face and proposes effective ways to solve these problems through the perspective of human rights and human labor rights based on the report written by National Human Rights Commission. In short, for this law to function properly and to boost the worker's capability of providing better services to beneficiaries, followings can be good answers - enhanced management and supervision on caring plans and care centers, providing immediate counselling and protection for victimized care givers, training courses offered to promote service receiver's sincere respect and strengthened awareness upon care givers.
The objectives of this study is to identify the Effects of Sex Education Program on careworkers' Knowledge, Attitudes and Coping toward sexuality of the Elders. The experimental design for this study was nonequivalent control group pretest-posttest design. Research was done from September 10, 2013 to October 10, 2013. Participants included a total of 37 subjects. 19 in the experimental group and 18 in the control group. The data were analyzed by frequency, percentage, Pearson's correlation coefficients, Shapiro - Wilk test, ${\chi}^2$-test, Independent Samples t-test, Mann-Whitney U test, paired t-test, Wilcox signed rank test using SPSS/PC WIN 18.0 program. The results showed that program was effective in increasing the knowledge of sex, but attitude and positive coping, negative coping did not differ significantly between the groups. In conclusion, this study showed that sex education could be effective higher sex knowledge of careworkers, but could not be effective sex attitudes and coping. Therefore, it is necessary that develop sex education program to be effective sex attitudes and coping of careworkers.
The aim of this study was to identify the status of health functional food consumption of working women. The 558 subjects of the study were aged between 10-60 years, and had previous experiences of consuming health functional foods. The majority of the subjects lived in Seoul, and some lived in the Gyeonggi Province. The most prevalent goals that the subjects hoped to achieve by consuming health functional foods were improvement of physical health status and reduction of exhaustion. Other goals included supplement of nutrition, and prevention or treatment of diseases. Those who were older or who possessed a high BMI spent more expenses on health functional foods, and showed a higher intake frequency as well as longer periods of consumption. Subjects placed in the older group showed a lower level of knowledge related to functional foods, which turned out to be statistically significant. Most of the respondents answered that their knowledge related to functional foods was picked up from listening to others. In conclusion, we were able to observe that groups with elder working women and high BMI show higher consumption and expense rates of health functional foods, as well as longer periods of consumption. However, they show a minimum level of knowledge related to functional foods. According to our results, these subjects should seek practical help in order to select functional foods that will aid their health, and learn the proper method of consumption. In order to reduce inaccurate consumption of health functional foods, it is imperative that more in-depth study is carried out in this field.
This quasi-experimental study examined the experience of simulation clothes and its effects among undergraduate nursing students. Method: The experimental group consisted of 44 sophomore students in a diploma nursing program, while 41 students comprised the comparison group. Only the experimental group experienced the functional decline of aging after taking on simulation clothes. Homogeneity between the groups was analyzed using t-test, and Fisher's exact test. Paired t-test and t-test were adopted for testing changes of attitudes and awareness of supporting elders. In addition, contents of students' reports of the aging simulation experience were analyzed. Results: No significant quantitative effect was observed in attitudes toward elders and awareness of supporting elders. However, the simulation experience seemed to have enhanced students' understanding of elders and of basic elder care as well. Furthermore, the students could think of preparing for their later lives. Conclusion: The experience of simulation clothes is a meaningful learning opportunity in gerontological nursing curriculum. Students' experiences need to be shared and reinforced in a discussion session. Safety should be secured in the process of the experience. The simulation experience can be further developed to raise its quality.
Speech recognition in noise situation is an important skill for effective communication. Hearing In Noise Test (HINT) has been suggested as a clinical tool to evaluate these aspects. However, this tool has not been used widely in domestic clinics. In this study, psychophysical aspects of HINT and burdens in clinical application were analyzed to improve the applicability of the tool. The difficulty in understanding speech in the elderly population is due to hearing loss based on aging of peripheral and central auditory pathways. As typical clinical cases, HINT scores for young and elderly listeners (20s vs 70s) were compared. Four conditions of HINT test were Quiet (Q), Noise Front (NF), Noise Right (NR), and Noise Left (NL). Quantitative scores showed that the elderly listener required more Signal to Noris Ratio (SNR) values than the younger counterpart in noisy situations. Although both showed Binaural Masking Level Difference (BMLD) effect, the strength was smaller in the elder. However, the age-matched normalized data were not established in detail for clinical application. Confirmed usefulness of HINT and the related improvement in clinical measuring procedure were suggested.
Activity theory explains that the old people participate in social activity as a role-substitute from loss of roles given by work and family. It is possible to enhance their life satisfaction through these activities. Based on this activity theory, this study aims at explore the role substitute of voluntary activities and to analysis whether volunteering commitment has an effect on life satisfaction. Data were collected by using survey questionnaires to the elderly over 55 years old who participated in voluntary activity at 25 Volunteer Centers in Seoul. The Activity theory was operationalized by job or joblessness, family type, achievement type obtained through voluntary activity The results are as follows. (1) Job or joblessness has effect on the activity frequence and activity time. (2) Social achievement after voluntary activity has effect on the duration only (3) And the family type did not have any effect. These three variables of activity theory do not have an effect on life satisfaction. The elderly volunteering commitment was explained by variables other than activity theory such as reward, health, education, sex. And the elderly volunteer's life satisfaction were affected by the family types and their economic status. These results imply that the Korean elderly voluntary activities could be expained partially by Activity theory. Also for these elder volunteers's life satisfaction, qualitative respects such as achievements through voluntary activity, and concerns and support by agencies are more important than the time they imput in voluntary activities.
This study aims to develop a reliable and valid Geriatric Reaction Inventory-Simplified Form (GRI-SF). Reaction inventory for measuring anger (Evans & Stangelang, 1971) is an assessment tool in a view of stimuli for measuring the level of anger invoked from the anger-triggered experiences. Yet, the inventory, comprised of 76 items, is sometimes incapable of finishing up the lengthy questionnaire. In the sense, a simplified form of RI is necessary for those lacks cognitive ability such as stroke patients or the elderly. In study 1, a full version of Reaction Inventory was given for the elder who are above 60, and ten items out of 76 was selected to form GRI-SF based on the psychometric theory. In study 2, the reliability and validity of GRI-SF was tested by another sample group of elderly with some additional examinations. The reliability was good with Cronbach's alpha of 0.79. Based on the fact that GRI-SF measures the personal trait anger, GRI-SF should not be only strong correlation with the scores of trait anger strongly, but be less correlated with scores representing other aspects of anger. As a result, GRI-SF score showed strong correlations with trait anger among other sub-categories of State-Trait Expression Inventory (STAXI), and was less correlated with anger-out score which reflects behavioral aspect of anger. Moreover, it is less correlated (r=.41) with hostility representing attitudinal or cognitive aspects of anger. Consequently, GRI-SF, constructed by this research, is verified to be a reliable and valid tool for anger measurement.
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