• Title/Summary/Keyword: the elderly education

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Unmet Care Needs Among Community-dwelling Middle-aged and Older People in Korea (지역사회 거주 중고령자의 미충족 돌봄요구와 관련요인)

  • Kim, Soojung;Park, Yeon-Hwan;Kim, Hongsoo
    • 한국노년학
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    • v.31 no.2
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    • pp.195-209
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    • 2011
  • This study examined the prevalence of and factors associated with unmet care need among community-dwelling middle-aged and older people in Korea. Data were from the 2006 Korean Longitudinal Study on Ageing (KLoSA), a national survey of 10,254 non-institutionalized adults aged 45 or older. Having unmet care needs was defined as needing personal assistance with activities of daily living (ADL) or instrumental activities of daily living (IADL) but having no available helper. Weighted logistic regressions were fitted to examine factors associated with unmet care needs. Overall, 7.3%, 14.5%, and 41.8% of subjects among the middle-aged, younger old, and older old, respectively, reported care needs of these, 34%, 33%,and 24% had unmet needs. Factors associated with unmet needs differed among the three groups: Education and income level were negatively associated with unmet needs among the middle-aged, but living alone was the only factor positively associated with unmet needs in both the younger and older old. The prevalence of and factors associated with unmet care needs differ by life-stage. Needed are home- and community-based care and services to meet the need for personal assistance among the elderly living alone in a community.

The Impact of Family Caregiving for the Elderly with Dementia on Depression in the United States: Does the Relationship of Caregivers to Care Recipients Matter? (미국 치매노인 부양자의 우울증에 영향을 미치는 요소: 배우자 부양자와 딸 부양자 비교 연구)

  • Baek, Ju-Hee;Zarit, Steven H.
    • 한국노년학
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    • v.29 no.4
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    • pp.1591-1609
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    • 2009
  • Adult child caregivers and spousal caregivers might deal with differential challenges. Studies about caregivers' psychological outcomes, however, tended to investigate associations between caregiving and its outcomes by pooling adult child caregivers and spousal caregivers together. By using a U. S. sample of family caregivers who assisted a relative with dementia, this study examined whether the relationship of caregivers to care receivers (daughter caregivers or spousal caregivers) made a difference in levels of depressive symptoms. The result showed that wife caregivers were more likely to be depressed than daughter caregivers. For daughter caregivers, role overload, role captivity, and behavior problems significantly influenced on depression. Besides these variables, the level of education was a significant predictor for wife caregivers. Role captivity and behavior problems significantly impacted on depression for husband caregivers. Thus, role captivity and behavioral problems were common predictors for all the caregivers. Specifically, higher levels of role captivity and behavioral problems were likely to make caregivers more depressed. The implication of these results were discussed.

Effect of Communication with a Guardian of a Recipient of a Long-term Care Program on Job Satisfaction of Care Helpers (장기요양수급 대상 보호자와의 의사소통이 요양보호사의 직무만족에 미치는 영향)

  • Lee, Yong-Jae;Gang, Tae-Woo
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.156-165
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    • 2014
  • In this study, the effect of communication with a guardian of a recipient of a Long-term Care Program on job satisfaction of care helpers of in-home care facilities for the elderly is analyzed. First, most of the care helpers are content with their job despite low pay and short work-hour. Especially, they are aware of the need of communication with a guardian but skeptical about the need of having intimacy with a guardian, so the relation between a care helper and a guardian is usually formal only. Second, in terms of characteristics of a guardian, care helpers have higher job satisfaction when a guardian is a male and old, and does not have an unreasonable demand. Third, they have higher job satisfaction when they have better communicate with a guardian rather than higher intimacy. Considering this result, we should make programs such as education for a guardian to develop intimacy with a care helper and one for a care helper to develop intimacy and communicate effectively with a guardian. It is also needed to have guidelines which set up relationship between a helper and a guardian.

Factors Associated with Patient Revenues of Hand Injured Patients (수부손상환자 진료비에 미치는 영향요인 -서울시 소재 S병원의 환례를 대상으로-)

  • Yang, Jae-Young;Suh, Won-S.
    • The Journal of the Korea Contents Association
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    • v.12 no.4
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    • pp.380-389
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    • 2012
  • This study aims to argue fundamental issues on factors associated with revenues of hand injury patients to effectively manage hospitals specialized in hand injuries. The study employes 2,461 patients who entered S hospital from 2008 to 2010 with hand injuries. The followings are the results of the study. First, there is significant difference among occurrence of hand injuries with regard to demographics of patients. That is, it is likely to have longer average length of stay(ALOS) of male over female, of the elderly over infants and toddlers, and vice versa on average daily patient revenues. Also, compared to patients with traffic and labor insurance, patients with health insurance is likely to stay longer at lower daily cost. Fifth, demographics and incidence of hand injuries were significantly associated with average length of stay(ALOS) and average daily patient revenues. That is, male over female, age over 60 over any other age categories, patients with traffic and labor insurances over one with health insurance, cases with laceration, avulsion and bone transplantation over any other types of hand injury patients were factors significantly related to ALOS and average daily patient revenues. In sum, it is needed to focus on education and campaign to raise attentions on preventing various hand injuries. Also, managers at hospitals specialized in hand injuries should pay attention on issues such as reducing ALOS to run the organization effectively.

Factors Affecting on Physical Activity Levels of Community-dwelling Older Adults in Korea (재가 노인의 성별에 따른 신체활동 수준과 영향요인의 차이)

  • Oh, Doo-Nam;Kim, Seon-Ho;Chung, Mi-Young
    • The Journal of the Korea Contents Association
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    • v.12 no.2
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    • pp.358-368
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    • 2012
  • The purpose of this study was to discover the factors affecting on physical activity levels of community-dwelling older adults in Korea. The data was analyzed on 12,322 older adults, aged 65 or above, from the 2008 National Elderly Survey. The results of this study were as follows: First, 29.9% of older men and 46.4% of older women were classified as physically inactivity. Second, age(OR=1.44, p<.001), education(OR=1.17, p=.026), location of residence(OR=1.19, p=.016), perceived health status(OR=2.18, p<.001), chronic disease(OR=1.23, p=.020), pain(OR=1.24, p=.011), ADL(OR=1.86, p<.001), fear of fall(OR=1.26, p=.003), depression(OR=1.78, p<.001) predicted physical activity levels in older men. Age(OR=1.54, p<.001), perceived health status(OR=1.63, p<.001), pain(OR=1.45, p<.001), falling experience(OR=1.24, p=.001), ADL(OR=1.72, p<.001), depression(OR=1.46, p<.001) predicted physical activity levels in older women. It is suggested that the findings of this study are helpful to develop effective physical activity interventions for older adults.

Hepatitis B, C, and D Virus Infections and AFP Tumor Marker Prevalence Among the Elderly Population in Mongolia: A Nationwide Survey

  • Dambadarjaa, Davaalkham;Mukhtar, Yerkyebulan;Tsogzolbaatar, Enkh-Oyun;Khuyag, Ser-Od;Dayan, Angarmurun;Oyunbileg, Nandin-Erdene;Shagdarsuren, Oyu-Erdene;Nyam, Gunchmaa;Nakamura, Yosikazu;Takahashi, Masaharu;Okamoto, Hiroaki
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.3
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    • pp.263-272
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    • 2022
  • Objectives: Infections with hepatitis B, C, and D virus (HBV, HCV, and HDV) are a major public health problem and lead to serious complications such as cirrhosis and hepatocellular carcinoma. We aimed to determine the seroprevalence of hepatitis B surface antigen (HBsAg), anti-HCV, anti-HDV immunoglobulin G, alpha-fetoprotein (AFP), and dual and triple hepatitis virus infections in Mongolia. Methods: A total of 2313 participants from urban and rural regions were randomly recruited for this cross-sectional study. A questionnaire was used to identify the risk factors for hepatitis virus infections, and the seromarkers were measured using immunoassay kits. Results: Among all participants, the prevalence of HBV, HCV, and HDV was 15.6%, 36.6%, and 14.3%, respectively. The infection rates were significantly higher in females and participants with a lower education level, rural residence, older age, and a history of blood transfusion. HBV and HCV co-infection was found in 120 (5.2%) participants and HBV, HCV, and HDV triple infection was detected in 67 (2.9%) participants. The prevalence of elevated AFP was 2.7%, 5.5%, and 2.6% higher in participants who were seropositive for HBsAg (p=0.01), anti-HCV (p<0.001), and anti-HDV (p=0.022), respectively. Elevated AFP was more prevalent in participants co-infected with HBV and HCV (5.8%, p=0.023), HBV and HDV (6.0%, p<0.001), and triple-infected with HBV, HCV, and HDV (7.5%) than in uninfected individuals. Conclusions: Nearly half (49.8%) of the study population aged ≥40 years were infected with HBV, HCV, or HDV, and 22.4% had dual or triple infections.

Relationships between Depression, Oral Dryness, and Oral Health-Related Quality of Life among Elderly in Korea

  • Mun, So-Jung;Park, Su-Kyung;Heo, Ji-Eun;Jeung, Da-Yee;Chung, Won-Gyoun;Choi, Ma-I;Jeon, Hyun-Sun
    • Journal of dental hygiene science
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    • v.19 no.4
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    • pp.245-253
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    • 2019
  • Background: This study aimed to analyze correlations between depression, cognitive function, oral health state, ability to perform activities of daily living, oral dryness symptoms, and oral health-related quality of life, and determine factors influencing the latter. Methods: This was a cross-sectional study based on questionnaires completed by 260 participants with suspected dementia, residing in South Korea. Psychiatrists, psychiatric nurses, and dental hygienists visited clinics in the participating regions for examination and questionnaire administration. General characteristics, the geriatric depression scale, ability to perform activities of daily living, cognitive function, oral health state, and oral health-related quality of life were analyzed. Independent t-tests, one-way analysis of variance (ANOVA), correlation analysis and multiple regression analysis were conducted, identifying factors affecting oral health-related quality of life. Data analysis was performed using SPSS ver. 20.0 (IBM Corp., USA), and the significance was set at p<0.05. Results: Approximately 65.0% of participants were female, 63.5% were in their 70s, and 90.0% had health insurance. About 21.5%, 42.0%, and 36.5% were normal, slightly impaired, and had dementia, respectively. High cognitive impairment was associated with poor oral health. Sex, education levels, marital status, and living arrangements influenced oral health-related quality of life. According to the regression analysis, geriatric depression and oral dryness affected the Geriatric Oral Health Assessment Index scores. Conclusion: In conclusion, oral dryness and depression levels among elders influenced oral health-related quality of life. The results showed that to enhance elders' oral health-related quality of life, it is essential to not only improve their oral health state, but also relieve oral health problems, especially oral dryness, and take into consideration their psychological aspects.

The Effect of Combined Cognitive-Motor Learning Program with Mild Cognitive Impairment Elderly Patients (경도인지장애노인 대상 융복합 운동 프로그램의 효과 : 신체 인지 기반 복합 인지-운동 중심)

  • Kim, Soo-Yeon;Baek, Soon-Gi
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.587-595
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    • 2015
  • The purpose of this study was to demonstrate exploring the field application of combined cognitive-motor learning program based on proprioceptive neuromuscular facilitation and Bartenieff Fundamental program. The combined cognitive-motor learning program(CC) was applied to the 10 MCI elder while 10 elder in occupational therapy(OT) took cognitive learning class. MMSE-K, Time up & go test(TUG), Tandem gait test(TA), GQOL-D were measured and analyzed. The collected data were analyzed by Independent & Paired T-test. The results were as follows: Both groups showed similar learning effect in MMSE-K test. However, in TA & GQOL-D test, CC group showed significant learning effect than OT group. From these result, we conclude that combined cognitive-motor learning program is valuable as alternative program for cognitive development and social development as well as physical development of MCI elder.

An Integrative Review of Well-aging research in Korea (국내 웰에이징 연구에 대한 통합적 문헌고찰)

  • Kim, Doo Ree;Kang, Kyung Hee;Park, Arma;Lee, Chong Hyung;Kim, Kwang Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.190-198
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    • 2021
  • The purpose of this study is to identify characteristics of well-aging related research conducted in Korea and to analyze the concept definition to present the direction for future well-aging research in Korea. As a research method, an integrated literature review suggested by Whittemore & Knafl was conducted. Study results found research conducted in Korea consisted of 2 literature reviews, case studies, qualitative studies, 3 survey studies, and 2 experimental studies. In addition, there were 3 studies performed prior to 2017 and 8 studies after that included 2 dissertations and 9 dissertations in academic journals. The definition of well aging consisted of physical, emotional, social, economic, and self-realization aspects. Based on the results of this study, it is necessary to provide education and programs according to life cycles to prepare well aging, and in the future, well-aging studies should be conducted in various academic fields.

Impact of Central Obesity and Physical Activity Behavior on Health-related Quality of Life among Korean Older Adults (한국 노인의 복부비만 유무에 따른 신체활동 수준 및 좌식시간과 건강관련 삶의 질의 관계)

  • Hwang, Seo-Hyeon;Yu, Mi-Seong;Jeon, Justin Y.
    • 한국체육학회지인문사회과학편
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    • v.57 no.4
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    • pp.375-386
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    • 2018
  • Due to the rapid increase of the elderly population in Korea, there is a growing interest in 'Healthy Aging.' In this trend, it is important to identify the relationship between their lifestyle factors and quality of life. The purpose of this study was to identify the association of physical activity level, sedentary behavior and health-related quality of life (HRQoL) among Korean older adults. A total of 4,589 older adults at the Sixth and Seventh National Health and Nutrition Examination Survey was analyzed. The results showed that better HRQoL was observed among physically active older female, which was more evident among physically active female with central obesity while no such relationship was observed among older male. On the other hand, higher sedentary time was associated with lower HRQoL in both male and female subjects. Our analyses indicated that central obesity was closely related with HRQoL regardless of their physical activity levels in female subjects. Further analyses investigating association between sub-dimension of HRQoL and sub-domain of physical activity showed that higher transport physical activity was associated with better anxiety/depression score and higher sedentary time was associated with poorer score on mobility, usual activities among male and mobility, self-care, usual activity and anxiety/depression among female. Our finding suggests that physical activity level, sedentary behavior and central obesity associated with HRQoL.