• 한국보건간호학회지
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• 제28권3호
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• pp.419-431
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• 2014

Purpose: The aim of this study was to understand the determinants of health-related quality of life (HRQOL) according to age groups in vulnerable elderly women. Methods: We conducted a cross-sectional study with 1,533 elderly women beneficiaries of the visiting health care program in Seoul. The participants were divided into three age groups: the young-old (n=753, 65-74 years), old-old (n=602, 75-84 years), and oldest-old (n=178, 85 years or older) groups. HRQOL was measured using the SF-8 questionnaire. Results: HRQOL was found to be worse in the oldest-old group (p=.007). Factors associated with HRQOL differ by age groups. In the young-old and old-old groups, higher HRQOL showed significant correlation with a higher level of self-rated health (SRH) and a lower level of depression, instrumental activities of daily living (IADL) dependence, and the number of chronic diseases. In addition, higher HRQOL was observed for elderly living alone than for those living with family. In the oldest group, higher HRQOL showed significant correlation with a lower level of depression, activities of daily living (ADL) dependence, and a higher level of SRH. Conclusions: In age specific groups, lower levels of HRQOL were observed for the oldest-old group than for the other age groups. Age group-specific nursing strategies may be required for improving HRQOL levels of vulnerable elderly women.

• 한국융합학회논문지
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• 제9권12호
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• pp.313-319
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• 2018

본 연구의 목적은 우리나라 만 65세 이상 노인의 연령별 신체활동 및 식생활과 정신건강의 관련정도와 영향요인을 파악하여 노인의 정신건강에 긍정적으로 대처할 수 있는 요인을 확인하고, 노인건강프로그램 개발의 기초자료로 활용하기 위함이다. 본 연구는 2015년도 국민건강영양조사결과를 기초자료로 한 이차자료 분석연구이며, 우리나라 만 65세 이상의 노인 1,484명을 대상으로 하였다. 자료분석은 IBM 23 ver. SPSS를 이용하였다. 본 연구 결과 전기노인은 정신건강변수의 세부항목 중에서 우울감과 스트레스 인지가 높았으며. 후기노인은 자살생각이 높았다. 식생활형편은 전기노인보다 후기노인에서 '음식섭취 부족' 이 높았다. 회귀분석 결과 노인의 식생활 형편, 중강도 신체활동이 노인의 정신건강과 관련성이 있는 것으로 보고되었다. 연구결과를 토대로 세분화된 연령대에 적합한 차별화된 간호중재 프로그램개발이 필요하다.

• 대한인간공학회지
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• 제30권1호
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• pp.109-115
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• 2011

In this research, three topics were studied for the elderly. The first was the elderly's error characteristics for tracing task and the second was for depth perception. The characteristics were compared with the young's. Twenty two old people and twenty two young people participated in the tracing experiment, respectively. In the depth perception experiment, twenty three old people and twenty two young people participated. A depth perception apparatus and a tracing one were used in the experiment. In the depth perception error, a significant difference was not detected on gender. However significant differences were detected with age and viewing distance. In the tracing error, significant difference was detected with age, also. The third experiment was push-button operation and fifteen old people participated in the experiment. As the result, operation time error was increased with the button size and the moving distance. The result of this study will be able to be considered in its user interface design to reduce the elderly's error while using a product.

• Journal of Gastric Cancer
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• 제2권4호
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• pp.200-204
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• 2002

Purpose: The aim of this study was to compare the clinicopathological characteristics and postoperative prognosis of two age groups with gastric cancer in order to establish the proper treatment strategy in these groups of patients. Materials and Methods: Among patients with gastric cancer who underwent a gastrectomy between 1990 and 1996 at the Department of Surgery, Kyungpook National University, the clinicopathological characteristics, including the postoperative survival, of patients younger than 40-years old were compared with those of patients over 69-years old. Results: During that period 1,125 gastric cancer patients underwent a gastrectomy. Among them, 111 patients ($9.9\%$) were less than 40-years old, and 96 patients ($8.5\%$) were over 69-years old. In the young group, 79 patients ($71.2\%$) had a poorly differentiated adenocarcinoma, and 59 patients from the elderly group ($61.5\%$) had a well- or moderately differentiated adenocarcinoma (P<0.05). Curative surgery was performed for 88 ($79.3\%$) patients in the young group and 78 ($81.3\%$) patients in the elderly group. This difference was not statistically significant. There was no statistically significant difference in the 5-year survival rates between the young and the elderly ($66.3\%\;vs.\;47.2\%$) groups, but the 5-year survival rate of the young group was significantly higher than that of the elderly group after a curative resection ($83.2\%\;vs.\;53.3\%$; P<0.05). Also the 5-year survival rate of the elderly group was significantly higher than that of the young group after a non-curative resection ($20.4\%\;vs.\;4.6\%$; P<0.05). Conclusions: For young patients, more efforts are needed to detect gastric cancer in its early stages so that a curative surgery can be performed. However, for the elderly, surgical treatment is recommended at any stage because of the relatively high survival rate, even after non-curative surgery.

• 대한간호학회지
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• 제38권4호
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• pp.593-602
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• 2008

Purpose: This study aimed to compare self-care behaviors and depressive symptoms between the young old (65-74 yr) and the old-old (75-84 yr) in low-income women with hypertension. Methods: This study used a descriptive research design. The subjects of this study were 136 elderly women over 65 yr living in D city. Data was collected from September to December 2007 through personal interviews using a questionnaire. The collected data was analyzed using the SPSS WIN 12.0 Program. Results: Self-care behaviors, functional status, and number of medications showed a significant difference between young elderly and middle elderly. There was a negative correlation between self-care behaviors and depressive symptoms. 52.2% of variance in self-care behaviors of young elderly and 76.8% of variance in self-care behaviors of middle elderly were explained by depressive symptoms, number of medications, and functional status. Conclusion: It is necessary to manage depressive symptoms to improve the self-care behaviors of low-income elderly with hypertension. Depressive symptoms need to be considered in planning hypertension programs for low-income elderly women.

• 대한간호학회지
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• 제39권1호
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• pp.72-83
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• 2009

Purpose: This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis. Methods: The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above. Results: We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms. Conclusion: The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.127-138
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• 2020

본 연구는 노인의 주관적 건강인식과 사회활동참여가 삶의 만족도에 미치는 영향 및 사회활동참여의 매개효과를 연령집단별로 분석한 것이다. 이를 위해 고령화연구패널조사 6차년도(2016) 자료를 활용하여, 만65세이상 75세 미만의 전기노인 2,106명, 75세 이상의 후기노인 2,219명을 대상으로 구조방정식모형을 사용했다. 분석결과, 주관적 건강인식 수준과 사회활동참여의 정도 및 삶의 만족도 수준 모두가 전기노인이 높은 것으로 나타났으며, 사회활동참여의 매개효과는 전기노인에게만 유의미하게 나타났다. 다중집단분석 결과, 주관적 건강인식이 삶의 만족도에 미치는 영향력은 집단 간에 차이가 없어 전기·후기노인 모두에게 주관적 건강인식이 동일하게 중요한 것으로 나타났다. 주관적 건강인식이 사회활동참여에 미치는 영향력은 후기노인이 상대적으로 높게 나타났다. 그러나 사회활동참여가 삶의 만족도에 미치는 영향력에서 전기노인에게만 유의미한 영향을 미치는 것으로 나타났다. 이러한 연구 결과를 토대로 노인의 삶의 만족도 제고를 위하여 전기노인과 후기노인의 집단 간 차이를 고려한 실천적 개입방안을 논의하였다.

• 농촌의학ㆍ지역보건
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• 제36권4호
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• pp.207-217
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• 2011

본 연구는 노인이 하나의 동일한 성격을 가진 집단이 아니라 연령에 따라 다양한 경험과 세대 차이가 있는 하위 집단으로 이루어져 있다는 것을 전제로 하여 65~75세 미만의 전기노인과 75세 이상의 후기 노인들의 특성과 개인별 건강행태 특성, 그리고 현재의 건강상태 등을 비교하고자 하였다. 이를 위하여 상주시 관내 24개 읍 면 동 지역의 경로당 이용자 617명(전기노인 287명, 후기 노인 330명)을 대상으로 설문 조사를 실시하고 실태를 비교분석한 결과는 다음과 같다. 인구사회학적 특성에 따른 결과는 남 여 모두 학력과 직업, 결혼상태, 동거가족에서 전 후기노인간에 유의한 차이가 있었다. 주 3회 이상 10분 이상 걷기 횟수는 남자 후기 노인이 전기노인에 비해서 유의하게 높았고 수면 시간은 남자와 여자노인 모두 전기노인의 수면시간이 후기노인에 비해서 유의하게 많았다. 질병 이환율은 여자 후기노인이 전기노인에 비해서 유의하게 높았고 제시한 16가지 계통의 질병중에서 남자 노인은 신경통 관절염이, 여자노인은 고혈압이 전기노인에 비해 후기노인의 이환율이 유의하게 높았다. 대상자의 생활수행능력은 경로당을 이용하는 건강한 노인이라는 특성이 반영되어 ADL(일상생활수행능력) 6개 항목을 모두 스스로 실천하는 응답자는 96.4%, IADL(수단적 일상생활능력) 6개 항목을 모두 실천하는 응답자는 90.8%로 매우 높게 나타났다. 건강상태에서 여자는 스트레스와 자살을 생각해본 경험이 후기노인이 전기노인에 비해 유의하게 많았고, 구강건강 상태와 청력, 시력은 남자와 여자 모두 전기노인이 후기노인에 비해서 유의하게 좋은 것으로 나타났다. 전 후기 노인의 건강행태와 건강상태에 대한 비교에서 남자는 주 3회 이상 10분 이상 걷기, 수면시간, 구강건강, 청력이, 여자는 수면시간, 스트레스, 청력, IADL이 유의한 변수로 분석되었다. 이상의 연구에서 후기 노인은 전기 노인에 비해서 인구사회학적인 특성에서 취약하며 이환된 질환의 수는 많았으나 규칙적으로 운동을 하는 노인은 적었다. 또한 신체활동능력과 정신건강 그리고 구강건강, 청력, 시력이 전기 노인에 비해서 좋지 못하였다. 따라서 후기노인에게 나타나는 신체적 정신적 건강의 취약성을 노화과정의 하나로만 볼 것이 아니라 연령층에 따라 나타나는 다양한 특성중의 하나라고 받아들이고 전 후기 노인들의 건강행태와 건강상태의 특성에 맞춘 다양한 질병예방, 건강 증진프로그램을 개발하고 적용할 수 있는 국가적 차원의 관리와 지원이 요구된다.

• 영미문화
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• 제18권2호
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• pp.27-50
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• 2018

Old age is often compared as climbing mountains which requires walking out of breath, yet with wider vision. And it is also likened to the estuary where the river flows slowly and broadly into the open sea. Socially, old age has been regarded as a symbol of wisdom and reflection, and elderly people often take the role of sage who leads the community. On the other hand, the dementia, gray hair and wrinkles of old age were sometimes perceived as the decline of intellect and vitality. Especially, in the digital age in which technology makes people more sensitive to physical artificiality, the evaluation of the old age becomes more complex and obscure. In other words, some elderly people can not escape from Confucious convention of the elders first, which causes the denouncement by younger generations. On the other hand, some elderly people are becoming more adaptable to the trend of young people, emerging as the new elderly people. The anti-aging movement, early adaptation of IT, bioengineering regimen also strong for the advanced age. However, as the new elderly people are active in many fields of society, they also face intergenerational conflicts in some areas where remains the overlap between young people and them due to the limited openings in economy and culture. This study is a transdisciplinary research which can be called old age humanities. First of all, this paper looks at the aspects of lifestyles and intergeneration conflicts in old age in four Korean and Western literary works about the old people, and also searches how to improve the quality of the later life of old people, Overall, this paper aims to explore the way the old people can achieve the full life with the help of intergenerational dependency through building aging humanities and new communities for old people.

• Journal of Korean Biological Nursing Science
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• 제13권3호
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• pp.211-219
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• 2011

Purpose: The study compared the rest-activity rhythm and sleep pattern of elderly with young group. Methods: The subjects were 22 over than 65 years old and 23 under 65 years old. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for this study. The data were analyzed with $x^2$, Lamda test, t-test and correlation with SPSS 15.0 program. Results: The elderly had lower curve than the young group in rest-activity rhythm on each time zone. In particular, the elderly group had lower rest-activity rhythm curve of 8, 9, 14, 18, 19, 20, 21, 22 and 23 time zone than those of young group. Sleep pattern had statistical difference in the total sleep time, PSQI and insomnia. Total sleep time of elderly had lower score and PSQI and Insomnia had higher score than young group. Age had correlation with rest-activity rhythm, sleep efficiency, PSQI and insomnia. Conclusion: Rest-activity rhythm of the elderly showed an increase in activity in the early morning because of earlier get up than the young group and an decrease in activity in the afternoon because of taking a nap at this time. Elderly sleep was that total sleep time increased but sleep efficiency decreased and insomnia intensified. This sleep pattern was related to age and rest-activity rhythm.