Elderly Welfare Center Research Articles

Effects of a Cerebrocardiovascular Disease Prevention Education Program on the Knowledge, Preventive Attitude, and Self-Esteem of Cerebrocardiovascular Disease for the elderly in the elderly welfare center

Effects of a Cerebrocardiovascular Disease Prevention Education Program on the Knowledge, Preventive Attitude, and Self-Esteem of Cerebrocardiovascular Disease for the elderly in the elderly welfare center

The Effect of Informatization Education Satisfaction of Elderly Welfare Center on Elderly Information Usage and Life Satisfaction

The Effect of Informatization Education Satisfaction of Elderly Welfare Center on Elderly Information Usage and Life Satisfaction

여성노인의 피부두겹 두께와 우울의 관련성 연구

Purpose: This research was aimed at evaluating the differences in depression by skinfold thickness, and the relationship between two variables. Methods: Research design was a non-experimental descriptive survey. Using a caliper, we measured skinfold thickness on the triceps, and then on the suprailiac, and the mid-thigh. Depression was evaluated using the Geriatric Depression Scale-Short Form (GDS-SF). Data were collected for one month from Sept 1st to 30th, 2011. There were 52 subjects, 25 of which were from elderly welfare centers and 27 were hospitalized. Results: Subjects were an average age of <TEX>$76.4{\pm}4.45$</TEX>, and the incidence rate of depression (<TEX>${\geq}6$</TEX>) was 36.5% and those who had a sum of 3 skinfolds over 62 mm were 22.7%. The GDS-SF was significantly different in only the suprailiac skinfold thickness (F=7.25, p<.05). Conclusion: Findings indicate that depression is different based on suprailiac thickness in older adult women at elderly welfare centers and those who were hospitalized in an medical ward. It suggests that the suprailiac skinfold may be an indicator of abdominal obesity when considering depression in elderly women. Further study is needed to evaluate a cutoff score of skinfold thickness in obesity for older adult women.

노인의 지혜가 삶의 만족도, 자아 존중감, 심리적 복지감, 자녀관계의 질에 미치는 영향

Abstract This study is aimed to know whether there are any quality differences among wisdom, life satisfaction, self-esteem, psychological well-being, and child relationship in accordance with the individual characteristics of the elderly. The subjects in this study were 227 old people who were over 65 years old among people using the hall for the elderly or elderly welfare center, worship facilities in Cheonan City or Kyeonggi Province. In addition, the effect that wisdom influences each valuable showed that there were statistically significant in all of the satisfaction of living, self-esteem, psychological wellbeing, the quality of child relationship. The result of research in the interaction effects between sex and age showed the interaction effect. Key Words : Wisdom, Life Satisfaction,,Self-esteem, Psychological Wellbeing, Quality of Child Relationship Received 6 October 2014, Revised 11 November 2014Accepted 20 December 2014 Corresponding Author: Sun-Hee Song(Hoseo University) Email: shsong@hoseo.eduⒸ The Society of Digital Policy & Management. All rights reserved. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is ISSN: 1738-1916 properly cited.

Investigation of Food and Nutrition Management Program and its Needs for the Aged Using the Elderly Welfare Facility

Objective: To analyze the need for a food and nutrition management control program in order to promote health and nutritional dietary life of the aged. Target Audience: The target audience was dietary supporters at the elderly welfare centers in Korea. Theory, Prior Research, Rationale: In Korea, the number of elderly welfare facilities is being quantitatively increased and, for the health of the aged, it is necessary to control the nutrition at these facilities. However, the food and nutrition control management system is not satisfactory. The program is based on the behavior change theory. Description: A nutrition education program for 42 dietary supporters at the elderly welfare centers in order to encourage healthy behaviors of the elderly including choosing and cooking healthy food. The satisfaction and opinions was measured by interviewing after application of the program. Evaluation: Eighty-eight point one percent of the total subjects replied 'very satisfied', in terms of interest of the education program. In the program needs, 'normal dietary therapy for health' and 'dietary therapy depending on each disease' (including obesity) were represented to be high. Regarding education methods, it was represented in the order of 'lecture (47.6%)', 'practice (45.2%)', 'class demonstration (19%)', and 'play and game (7.1%)'. In the types of food and nutrition management control programs, health and nutrition education (4.04)' showed the highest. Conclusions and Implications: We expect that when the role of the elderly welfare facility has been established as a health and nutrition promotion system for the aged and linked with the national welfare project, its synergy effect would be more significant. Funding: Korea Health Promotion Foundation (2013)

Application of Nutrition Education Program for the Dietary Supporters of the Elderly Welfare Center

Application of Nutrition Education Program for the Dietary Supporters of the Elderly Welfare Center

타이치 운동이 여성노인의 체력과 삶의 질에 미치는 효과

Purpose: This study was performed to investigate the effects of Tai Chi exercise on physical fitness and quality of life (QOL) in elderly women. Methods: This study was designed as a quasi-experimental, nonequivalent control group pre-post test design. The subjects were elderly women over 60 years old who enrolled senior citizen centers and elderly welfare center. Thirty-three people were conveniently assigned to an experimental group (n=15) or a control group (n=18). The data were collected from September 2009 to May 2010. The experimental group was trained Tai Chi exercise for 8 weeks (one hour Tai Chi classes twice a week and once a week by themselves at home). Data were analyzed by Fisher’s exact test, x 2 -test and independent t-test. Results: The experimental group experienced significant improvements in flexibility. The experimental group experienced significant improvements in physical component summary (p=.017) and mental component summary (p=.027) of QOL. Conclusion: Tai Chi exercise can be used as a nursing intervention for improvement of physical fitness and QOL in elderly women.

Relationship between Bisphenol A exposure and obesity in the elderly

Background: Bisphenol A (BPA) is ubiquitous material which is well known as an endocrine disruptor. Obesity is a major risk factor for many chronic diseases. A few recent epidemiologic studies have focused on a relationship between BPA exposure and obesity. Most of them, however, were cross-sectional. Aims: We conducted a panel study with repeated measurement to evaluate relationship between BPA and obesity in elderly people. Methods: A total of 560 elderly participants ages 60 or over were recruited in Seoul from 2008 to 2009. Subjects visited a community elderly welfare center as many as five times for medical examination Urinary BPA levels and BMI were measured at every visit. We defined above 25 for body mass index (BMI, kg/m2) as obesity and estimated the relations between log-transformed continuous or quartile level of urinary BPA and BMI. GLIMMIX analysiswas performed after adjusted for age, sex, low-density lipoprotein cholesterol level, vitamin complex intake, alcohol consumption, regular exercise, total calories intake, and urinary cotinine concentrations. Results: The geometric mean of BPA was 0.6?g/g creatinine.There was a significant relationship between log-transformed BPA levels and obesity (Odds ratio [OR] 1.19; 95% Confidence interval [CI] 1.06-1.34). We found the second and fourth quartiles of urinary BPA levels had significantly elevated ORs compared with the first quartile (OR 1.51; 95% CI 1.05-2.19, and OR 1.61; 95% CI 1.09-2.39, respectively) Conclusions: Our result suggests that urinary concentrations of BPA are significantly associated with obesity in the elderly. Thus, controlling environmental BPA exposure may be important to reduce the risk of obesity.

취약계층 노인의 경로식당 급식 서비스 경험에 관한 질적 연구: 침묵의 밥

The elderly population in Korea is rapidly growing. As the population ages, meals become greater con- cern, as physical and psychological health problems are directly affected by dietary especially for the lower-income elderly. Although the government provides support through free congregate service, there is lack of systematic management of this service. This study investigates the experience of the elderly, especially the symbolic meaning and issues regarding the congregate service in their dietary to es- tablish strategies for improving congregate services. Qualitative data was collected from ten elderly re- ceivers of services through in-depth interviews and data was analyzed using Colaizzi's phenomenological research methods. Overall, 90 significant statements, 13 formulated meanings, and five theme clusters were deduced. The five theme clusters for the importance of services to the elderly included the followings: a real meal, enjoyment of living, maintenance of regular life, place for social life and meal of si- lence. We found that the elderly regarded the congregate free service not only as meals to appreciate but also as form of social life. Furthermore, the elderly did not typically express any complaints regarding congregate services because they are free. The results showed that it might be difficult to evaluate the quality of services based on the opinions of the service receivers. This study suggests it is necessary to develop multilateral evaluation methods to reflect the needs of the elderly and to improve the congregate services at elderly welfare centers.

Comparison of the activities of daily living and sleep according to the presence depression in the elderly

The destination of this study is a convenience sample of 301 people age 65 and older to use each one elderly welfare center D, M received a structured questionnaire for one-on-one interviews with the subjects to read all the questions and questionnaire was written. The depressed group and the normal group, identify the general characteristics, the ADL, and sleep, and the difference between the two groups, and relative risk were analyzed. The results of the study are as follows: Showed depressed group compared to normal group was the low level of ability to perform daily living, sleep well, not more than the ability to perform daily living, dressing, bowel and bladder management, and complained of the difficulty to perform instrumental activities of daily living ability of grooming, more difficult to appeal to public transportation, shopping. In conclusion, elderly health promotion strategy when you want to take into account whether or not the depression of the elderly will require the development of a variety of education and physical activity programs, and suggest the need for expanded research to determine the effectiveness.

요양보호사의 직장폭력 경험실태

Purpose: This is a descriptive research that reports incidents of workplace violence among care helpers. Methods: The subjects were 181 care helpers from elderly care facilities and domiciliary elderly welfare centers in Daejeon. Data were collected through self-administered questionnaires from July to November 2011. Subjects were asked to report incidents of violence within the previous six months. Data analysis included one-way ANOVA, and logistic regression analysis. Results: Forty-seven percent of care helpers reported verbal violence, 16% reported being physically threatened, more than 21 % reported sustaining a physical injury with 2% reporting severe physical injuries. Further, 18.8% of the care givers reported being sexually harassed by client. There were differences in reported workplace violence based on service types, service hours and whether there were policies about workplace violence. Conclusion: To prevent workplace violence for carehelpers, it is necessary to make a policy for preventing violence and develop a violence prevention program to meet service characteristics of facility-based and domiciliary care helpers.

Effect of diurnal temperature range on cardiovascular markers in the elderly in Seoul, Korea

While diurnal temperature range (DTR) has been found to be a risk factor for mortality, evaluation of the underlying mechanisms involved in this association are lacking. To explain the association between DTR and health effects, we investigated how cardiovascular markers responded to DTR. Data was obtained from 560 participants who regularly attended a community elderly welfare center located in Seoul, Korea. Data collection was conducted a total of five times over a 3-year period beginning in August, 2008. We examined systolic and diastolic blood pressure (BP), heart rate (HR), and heart rate variability (HRV). Mixed-effects models and generalized additive mixed models were used to assess the relationship of DTR with BP, HR, and HRV. BP was not associated significantly with rapid temperature changes during the day. While HR was associated linearly with increments of DTR, the relationship between DTR and HRV showed nonlinear associations, or the presence of a cutoff around median DTR. At the cutoff level of DTR determined by an inflection point in the graph, standard deviation of normal-to-normal intervals (SDNN) and root mean square successive difference (RMSSD) were peaked, whereas the low frequency:high frequency (LF:HF) ratio was elevated with decreasing DTR below the cutoff level. The study demonstrated that HR increases with increasing temperature range during the day, and that HRV is reduced at small or large DTR, which suggests minimal cardiovascular stress around the median level of temperature range during the day.

Association Between Knowledge and Attitude About Aging and Life Satisfaction Among Older Koreans

The purpose of this study was to measure knowledge and attitude about aging and life satisfaction among older Korean adults and to examine the influence of attitude and knowledge about aging on these adults' life satisfaction. A cross-sectional and correlational design was used. A total of 405 older adults were surveyed using a written questionnaire at six elderly welfare centers in a metropolitan city in South Korea in mid April 2011. The data were analyzed using descriptive statistics, Pearson's correlation analysis, and multiple regression. The score of knowledge on aging was below the medium level. Attitude about aging was neutral, and life satisfaction was at the medium level. Variables such as female sex, age, economic status, monthly allowance, living with a spouse, self-rated overall health, knowledge and attitude about aging accounted for 33.8% of the total variance in predicting life satisfaction of the older adults. Older age and lower economic status reduced life satisfaction. Being female, having a monthly income of 300,000 Korea Republic Won or more, living with a spouse, and better knowledge and attitude about aging were associated with enhanced life satisfaction. The effect of knowledge and attitude about aging on life satisfaction is significant. Economic status, living with a spouse and self-rated overall health status are also predictive factors in life satisfaction. Consequently, nursing interventions for education and psychological support to increase knowledge about aging and induce a positive attitude towards it should be developed to improve older adults' life satisfaction.

간이영양상태조사지(Mini Nutritional Assessment)로 조사한 일개 복지관 여성노인의 영양상태 평가와 관련요인 분석

A total of 100 elderly women attending a local elderly welfare center were recruited for study. Evaluation criteria included demographics, clinical status, nutritional status (using a mini-nutritional assessment), food intake, and nutritional bioparameters, in-cluding homocysteine, transferrin, prealbuminand lymphocyte levels, and their antioxidant power status.

A Study of Facilities’Allocation Method of the Elderly Welfare Center Based on the ADL Ability and Evacuation Safety

A Study of Facilities’Allocation Method of the Elderly Welfare Center Based on the ADL Ability and Evacuation Safety

노인복지시설 이용자의 서비스 만족도 분석 은평구·강서구 노인복지시설을 중심으로

본 연구는 노인복지관 평생교육 프로그램 및 다양한 노인복지 서비스를 이용하는 60세 이상의 노인이 지각한 노인복지관의 서비스 만족도 요인을 검증하기 위해 해당 복지센터의 허가를 받아 설문지를 배부하여 175부를 자료로 활용하였다. 수집된 데이터를 중심으로 PASW 18.0 프로그램을 사용하였으며, 데이터 분석을 위해 T-test와 One-way ANOVA를 사용하였다. 성별에서는 남자의 전반적인 만족도가 더 높게 나타났으며, 연령은 낮을수록 만족도가 높게 나타났고, 학력은 초등학교 졸과 대학교 졸 이상에서 만족도가 높은 것으로 나타났다. 건강상태에서는 건강할수록 만족도가 높은 것으로 나타났으며, 한 달 용돈으로는 30-50만원 정도 사용하시는 어르신이 만족도가 높은 것으로 나타났고, 이용기간으로는 1년 미만과 3년 이상 되신 어르신들이 만족도가 높은 것으로 나타났다. 지역에서는 강서구 복지시설을 이용하는 어르신들이 은평구 복지시설을 이용하는 어르신보다 전반적인 서비스 만족도가 높은 것으로 나타났다. 【This study, continuing education programs and elderly welfare center in order to verify the source of satisfaction perceived elderly welfare center services for the elderly aged 60 or over to use the various welfare services for elderly, distribute the questionnaire with the permission of the welfare centers, utilizing a material portion 175. This study used PASW 18.0 program on the collected data and for data analysis, detailed statistical analysis methods used were t-test and One-way ANOVA. Gender were observed in higher overall satisfaction of a man, granted a high degree of satisfaction lower age, education elementary school, at least university graduates, found that satisfaction is high. In health, become clear that the more satisfied the more you health, spending money a month it became clear that the more satisfied the elderly to be used about 300,000 won to 500,000 won use period found that the elderly were more satisfied if less than one year and more than three years. In the region, Gangseo-gu is found to be slightly higher overall satisfaction with services than the Eunpyong-gu.】

Prevalence and Predictors of Geriatric Depression in Community-Dwelling Elderly

This study aimed to examine the relationship between depressive mood and physical and socio-environmental variables of community-dwelling elderly. This study was designed as a cross-sectional descriptive survey. The setting was two elderly welfare centers and two public health centers in Korea. The subjects were recruited by public announcement and participated after giving their written informed consent. A total of 295 participants were included in the final analysis. The Korean version of the short form of Geriatric Depression Scale (SGDS-K), Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC) of activities of daily living (ADL) and a socio-demographic questionnaire were administered to participants. Hand-grip strength was measured with a hand dynamometer. The prevalence of depression among the subjects was 63%. Of the elderly, 21% had severe depressive symptoms. The mean depression score was 6.21 (SD = 3.83) and it was higher in women than in men. In the regression analysis, perceived health status alone had an accountability of 17.3% to depression. When TMIG-IC was added, this increased to 22.6%. Additionally, when hand-grip strength and social activities were input, it increased to 25.2%. Therefore, perceived health status was a significant and powerful factor explaining depression among the Korean elderly. In this research, perceived health status was the most powerful predictor of elderly depression. TMIG-IC, hand-grip strength and social activities also predicted Korean elderly depression. These factors should be considered when the program is developed for elderly people with depression. [Asian Nursing Research 2009;3(3):121-129].

Concern in and Utilization of the Mass Media Health Information in Community-dwelling Elderly

Background: Recently, the mass media serves a major role in the public health education, but have not been proven whether they are being appropriately utilized in the elderly. The aim of this study was to identify the elderly person's concern in the mass media health information and utilization behavior. Methods: Between March to June 2008, one to one survey with the elderly people over 60 years was performed in two elderly welfare centers, one public health center, and two secondary hospitals outpatients and inpatients in Seoul and Chungju. Results: A total of 999 subjects were included. By multivariate analysis, factors signifi cantly associated with low concern in the mass media health information were low educational level, non-exercise group, and low concern in own health (P = 0.001, 0.009, < 0.001, respectively). The most frequently utilized health information source was the mass media. By comparing the frequency of health information utilization, women, low educational level, low income, non-exercise group, underweight, low level of self-evaluated health status, and low concern in health information were signifi cantly associated with the lowest quintile of utilization (P value: < 0.001, 0.005, 0.05, < 0.001, 0.002, 0.03, 0.005, respectively). However, the presence of chronic diseases, such as hypertension, diabetes, had no association. Conclusion: In community-dwelling elderly, important factors associated with concern in and utilization of the mass media health information were concern in health, self-evaluated health status, exercise status and socioeconomic factors such as education or income level, rather than comorbid chronic disease.

The Development and Evaluation of an Incontinence Intervention Program for the Elderly Women at Elderly Welfare Center

The elderly with UI experienced urine leakage for a long time. The prevalence of UI has increased and it makes costly. Particularly, the elderly were reluctant to visit a hospital or a clinic for the reasons of modesty and poverty. To solve this problem, incontinence intervention programs should be provided at the elderly welfare center. The purpose of this research was to develop Incontinence Intervention Program for the Elderly Women (IIPE) and evaluate in its effect. The study design was quasi-experimental with pre and post-test. The study was performed for ten weeks at one elderly welfare center, Seoul, Korea. The subjects were gathered through an official announcement and informed consent was obtained. IIPE, in this study, was consisted of diagnosis, education, exercise and evaluation. The study variables were PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress. The effects of the IIPE on PFM exercise adherence, pelvic muscle strength, Continence self-efficacy, geriatric depression and incontinence stress were also evaluated. The mean age of the subjects was 75.2 years. The average attendance was 6.2 times. The IIPE improved PFM exercise adherence, intra-vaginal contraction power and CSE significantly. But it was not significant in incontinence stress and geriatric depression. Other important results were that the two-finger test and urine stream interruption were more useful for elderly women with rigid vaginas in teaching and evaluating. The Findings suggest that IIPE is effective to the community-residing elderly. Further investigation is needed on a long-term basis with control group.

Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries.

A Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K) was created. The English-American version of CERAD clinical and neuropsychological assessment batteries was translated into Korean, and the psychometrical properties of the cognitive tests in the CERAD-K were established. In the translation, including back-translation, the basic structures of all measures in the original CERAD batteries were maintained. The CERAD-K was administered in a standardized manner to 106 dementia patients (aged 70.4 +/- 8.1 years), including 78 Alzheimer's disease (AD) patients, and 186 controls (aged 68.4 +/- 4.6 years) who were recruited from 3 university hospitals and 2 elderly welfare centers. The cognitive tests in the CERAD-K successfully differentiated controls from the dementia patients and from the AD patients. They also showed substantial interrater reliability and 1-month test-retest reliability. The CERAD-K is an equally reliable and valid equivalent for the English version of the CERAD clinical and neuropsychological assessment batteries.