Senior Citizen Centers Research Articles

경기도 노인의 운동기능저하 증후군 실태조사 및 정책제언

The purpose of this study is to propose policy tasks to improve the healthy daily life and quality of life of the elderly by conducting a survey of the elderly in Gyeonggi-do, and to draw up policy support measures to contribute to the revitalization of sports for the elderly in the province. The research subjects were conducted on a total of 220 elderly people aged 65 or older in Gyeonggi-do, focusing on four areas (Buchon City, Yongin City, Uijeongbu City, and Suwon City) that are densely populated with senior citizens (locomo Measurement, Survey, In-depth Interview, etc.) As a result, 98% of the total 220 senior citizens were in the first and second stages of locomo. Secondly, a comparative analysis of senior citizen centers and welfare centers showed that senior citizens in welfare centers had higher levels of physical strength than those in senior citizen centers, and that the Locomo level was lower. Specific policy support measures were drawn up to contribute to the vitalization of elderly living sports to improve the healthy daily life and quality of life of senior citizens in Gyeonggi-do as follows. First, it is necessary to raise public awareness of the Locomotive Syndrome in policy. Second, inspection is needed for preemptive prevention. It is necessary to establish a national standard for locomotropic syndromes and judgments to create a simple test method for youth to avoid exposure to motor donation syndrome. Third, the campaign for life cycle health life extension should be disseminated. Fourth, by the elderly, for the elderly, the elderly''s locomotive prevention movement leaders should be nurtured.

경로당 이용 노인의 따돌림피해 대처과정에 관한 질적 연구

본 연구는 경로당 이용 노인이 경로당을 이용하는 과정에서 당한 따돌림을 어떻게 대처하는지를 탐색함으로써 피해 노인의 적응과정을 이해하고 이를 통해 노인따돌림을 효율적으로 개입하기 위한 방안을 모색하기 위해 수행되었다. 이를 위해 경로당 이용 노인 중 이전에 따돌림을 당한 경험을 가진 11명을 대상으로 근거이론 접근방법을 통해 심층 면접 후 분석하였다. 분석결과 인과적 조건은‘공동체에 거슬리는 언행 및 위축 행동’이었다. 맥락적 조건으로는‘어쩔 수 없이 견디고 가야만 하는 경로당’으로 분석되었다. 현상은‘집단에서 무시, 배제됨’이었고, 중재적 조건은‘욕구충족의 공간’,‘내외적 지지받기’이었고, 상호작용은‘외면’, ‘체념하기’,‘정면으로 맞섬’,‘지지체계 구축’으로 파악되었다. 결과는‘함께 어울리며 생활’,‘체념’,‘견디며 노력하기’이었다. 경로당 이용 노인따돌림 대처유형은‘회피형’,‘돌파형’,‘순응형’으로 나타났다. 본 연구에서는 이러한 연구 결과를 토대로 경로당에서의 노인따돌림 예방과 개입에 필요한 방안과 후속연구를 제언하였다.

Failing or Graduating?

Failing or Graduating?

Rate of Force Development as a Predictor of Mobility in Community-dwelling Older Adults.

Rate of force development (RFD) is influential, and possibly more influential than other muscular performance parameters, for mobility in older adults. However, only a few studies have investigated this matter, and this has not been examined for the plantar flexors (PFs). The purpose of this study was to examine the contribution of PF RFD and other common tests of muscular performance to Up-and-Go (UG) performance and walking speed (WS) in older adults. Twenty-six (19 females) healthy, community-dwelling older adults (73.7 ± 4.9 years) were recruited from a senior citizen center for this observational study. Handgrip strength, UG performance, as well as preferred and maximal WS were obtained. Time taken to complete 5-chair rises and the number of chair rises completed in 30 seconds were recorded. Rate of force development of the PFs was obtained during a rapid, bilateral calf raise performed on a force plate. Hierarchical multiple linear regression was used to identify significant predictors, after adjusting for physical activity level and body mass index, of mobility (ie, UG, preferred and maximal WS). No muscular performance variables correlated with preferred WS. Rate of force development (adjusted R2 = 0.356; P = .008) and handgrip strength (adjusted R2 = 0.293; P = .026) were the only predictors of maximal WS and accounted for a 21.7% and 16.1% change in R2, respectively, after accounting for physical activity level and body mass index. Rate of force development was the only predictor of UG performance (adjusted R2 = 0.212; P = .006) and accounted for a 29.2% change in R2 after adjustment variables were applied. Compared to common assessments of muscular performance, such as handgrip strength and chair rise performance, PF RFD was a greater predictor of mobility in older adults. These findings, in conjunction with recent reports, indicate that the assessment of RFD likely complements strength testing, thereby enabling a more robust assessment of functional decline in older adults.

Association between mastication-related factors and the prevalence of dementia in Korean elderly women visiting senior centres.

The purpose of this study was to evaluate the mastication ability of elderly women by assessing the number of their remaining teeth, subjective mastication comfort, subjective chewing ability of five food items, relative occlusion balance and mastication performance involving in chewing gum. Korea has already entered an aged society, issues related to the elderly are also growing; for example, dementia is emerging as a social problem. In addition, oral health of the elderly is very important because it is directly related to nutrient intake. A total of 101 subjects aged ≥65 who attended senior citizen centres in Daegu city provided consent and were included in this study. The Korean version of the Mini-Mental State Examination (MMSE-DS) was used to evaluate cognitive function. To assess the degree of objective mastication, we measured colour changes using a chewing gum and posterior occlusion force using a T-scan Ⅲ® system. There was an association between mastication ability and cognitive function, indicated by the colour changes in the chewing gum (P<.05). The participants with greater relative posterior occlusion forces had higher MMSE-DS scores than those with stronger relative anterior occlusion forces. There was a positive correlation between cognitive function and posterior occlusion force. The elderly having more occlusion force of posterior teeth rather than anterior teeth were associated with better cognitive ability. Therefore, it may be important for the elderly to restore the masticatory function for the posterior part to prevent against deterioration of cognitive function.

The effects of death anxiety on elderly's successful aging - Focusing on mediating effects of spiritual wellbeing-

본 연구는 노인이 경험하는 성공적 노화에 죽음불안과 영적 안녕감이 미치는 영향을 살펴보고자 하였다. 이를 위해 첫째, 노인의 죽음불안 수준에 따라 성공적 노화의 하위 요인을 삶의 질, 과거 삶의 수용, 현재 삶의 태도에 미치는 영향을 살펴보았다. 둘째, 노인의 죽음불안 수준에 따라 영적 안녕감의 하위요인으로 구성된 종교적 안녕감과 실존적 안녕감에 미치는 영향을 살펴보았다. 셋째, 죽음불안과 성공적 노화의 관계에서 영적 안녕감의 하위요인인 종교적 안녕감과 실존적 안녕감의 매개효과를 살펴보았다. 이러한 연구목적을 달성하기 위하여 수도권(서울&#8231;경기 지역)과 부산광역시, 대구광역시, 대전광역시, 김천시, 동해시, 정읍시 지역에 위치한 노인종합복지관, 노인대학, 문화센터, 경로당을 이용하는 65세 이상 노인 550여명을 대상으로 설문 조사하여 회수된 512부의 최종분석 자료 395부는 SPSS 21을 사용하여 분석을 하였다. 본 연구의 결과에서 죽음불안과 성공적 노화의 하위요인 관계에서 현재 삶 태도를 제외하고, 삶의 질, 과거 삶 수용, 종교적 안녕감, 실존적 안녕감은 통계적으로 유의미하게 나타났다. 이는 죽음불안과 영적 안녕감(종교적, 실존적)이 성공적 노화의 하위요인인 현재 삶 태도 외, 삶의 질, 과거 삶 수용에 직&#8231;간접적으로 영향을 준다는 결과이다. 즉, 죽음불안과 성공적 노화의 관계에서 종교적, 실존적 안녕감의 매개효과가 있는 것으로 죽음불안이 낮으면 종교적, 실존적 안녕감이 높아져 성공적 노화 정도가 향상한다고 할 수 있다.The purpose of this study is to investigate the effects of death anxiety and spiritual wellbeing on successful aging of the elderly. First, I researched the effects of sub factors of successful aging on the quality of life, acceptance of past life, and attitude of present life according to death anxiety level of the elderly. Second, I examined the effects of sub factors of spiritual wellbeing on the religious wellbeing and the existential wellbeing according to death anxiety level of the elderly. Third, I studied the mediating effects of the religious wellbeing and the existential wellbeing, which are sub factors of spiritual wellbeing in the relationship between death anxiety and successful aging. In order to accomplish this research purpose, I surveyed 550 people over the age of 65, from Senior Welfare Center, Cultural Center, the Elder s College, senior citizen(community) center and, the elderly general welfare center in the metropolitan area (Seoul and Kyunggi area), Busan city, Daegu city, Daejeon city, Gimcheon city, Donghae city and Jeongeup city, and 512 copies were collected. Among them, 395 copies were analyzed using SPSS 21 as final analysis. In the results of this study, the quality of life, past life acceptance, religious well being, existential wellbeing were statistically significant except the present life attitude in the sub factor of death anxiety and successful aging. This result shows that death anxiety and spiritual wellbeing (religious and existential) directly or indirectly affect the quality of life, past life acceptance and present life attitude which is a sub factor of successful aging. The research showed that there was a mediating effect of religious and existential wellbeing between death anxiety and successful aging. When death anxiety is low, religious and existential well - being increase, and the degree of successful aging is improved.

김해시 읍·면지역 경로당활성화 프로그램이 참여노인의 삶의 만족도에 미치는 영향에 관한 연구

본 연구는 김해시 읍·면지역 경로당 활성화 프로그램이 참여노인의 삶의 만족도에 어떠한 영향을 미치는가를 알아보고 이를 통해 김해시 경로당 활성화 사업의 효율성을 높이고 노인의 삶의 만족도를 증진하려는 목적으로 이루어졌다. 연구를 위해 김해시 읍·면 지역에 소재한 경로당 44개소 중 경로당 활성화 프로그램에 참여하고 있는 65세 이상 노인 200명을 연구대상으로 선정하였고, 자료 분석은 SPSS 18.0을 사용하여 연구대상자의 인구사회학적 특성을 파악하기 위해 빈도와 백분율을 산출하였고 프로그램에 대한 만족도와 삶의 만족도를 알아보기 위해 t-test와 ANOVA를 실시하였으며 경로당 활성화 프로그램에 대한 만족도가 참여 노인의 삶의 만족도에 미치는 영향을 알아보기 위해 위계적 회귀분석을 실시하였다. 연구결과 김해시 읍·면지역 경로당 활성화 프로그램이 참여노인의 삶의 만족도에 유의미한 영향을 미치는 것으로 나타났다. 이를 바탕으로 지역적 특성을 고려한 지역 간의 비교 연구와 향후 광범위한 지역을 대상으로 한 연구의 시사점을 제시하였다.

농촌지역 경로당 프로그램 참여가 행복감에 미치는 영향에 관한 연구-우울, 프로그램, 만족도의 이중 매개효과 검증-

농촌지역 경로당 프로그램 참여가 행복감에 미치는 영향에 관한 연구-우울, 프로그램, 만족도의 이중 매개효과 검증-

A Study on Strengthening the Functions of Senior Citizen Centers

A Study on Strengthening the Functions of Senior Citizen Centers

Cultural stereotypes in care contexts.

IntroductionThe main goal of the present study was to examine the stereotype content model (SCM) assumption for universality and to test whether the mediating role of cultural views about older adult caregivers is maintained in other health care contexts.MethodsOne hundred and sixty professionals and volunteers who worked with older adults in day care centers (DCCs) and senior citizen centers (SCCs) and 1,151 participants from a representative sample of the Spanish population were examined using the SCM questionnaire; older adult and personnel functioning were assessed through an observation procedure with two subscales of the Evaluation Scale from the Sistema de Evaluación de Residencias de Ancianos.ResultsThe results showed that the context does not seem to influence the cultural views about older adults held by caregivers. All results support the cultural stereotype pattern in which members of the older adult group are viewed with high warmth (HW) and low competence (LC) as posited by the SCM model. With respect to the mediation of cultural stereotypes on caregivers/older adult functioning, this has not been supported in this study. Neither cultural views of warmth (predicted by the SCM) nor views of competence (from our previous studies) influence either caregiver functional behaviors or older adult functioning.ConclusionTwo post hoc hypotheses can be inferred: 1) there is more variability in competence and warmth in DCCs and SCCs and 2) although we did not find significant differences in the pattern of competence and warmth in perceived cultural stereotypes about older adults, more healthy environments could reduce the influence of cognitive views on behavior.

Learning with active rural community-dwelling older adults: comprehensive effects of intergenerational service-learning in Taiwan

ABSTRACTThis study evaluated the experiences of college students serving with active, rural community-dwelling older adults and evaluated outcomes among the students, older adults, and community leaders in rural Taiwan. Thirty-one undergraduate students assisted older adults for six weeks at three senior citizen centers as they participated in an active aging competition. The analysis of qualitative data indicated that students adapted to the communicating barriers of language and cultural variances, were aware that older adults longed for company, and impressed the active image of older adults. The results of this study indicated that service-learning with rural community-dwelling older adults simultaneously benefits students, community leaders, and older adults.

Web-Based Telepresence Exercise Program for Community-Dwelling Elderly Women With a High Risk of Falling: Randomized Controlled Trial.

BackgroundWhile physical exercise is known to help prevent falls in the elderly, bad weather and long distance between the home and place of exercise represent substantial deterrents for the elderly to join or continue attending exercise programs outside their residence. Conventional modalities for home exercise can be helpful but do not offer direct and prompt feedback to the participant, which minimizes the benefit.ObjectiveWe aimed to develop an elderly-friendly telepresence exercise platform and to evaluate the effects of a 12-week telepresence exercise program on fall-related risk factors in community-dwelling elderly women with a high risk of falling.MethodsIn total, 34 women aged 68-91 years with Fall Risk Assessment scores >14 and no medical contraindication to physical training-based therapy were recruited in person from a senior citizen center. The telepresence exercise platform included a 15-inch tablet computer, custom-made peer-to-peer video conferencing server system, and broadband Internet connectivity. The Web-based program included supervised resistance exercises performed using elastic resistance bands and balance exercise for 20-40 minutes a day, three times a week, for 12 weeks. During the telepresence exercise session, each participant in the intervention group was supervised remotely by a specialized instructor who provided feedback in real time. The women in the control group maintained their lifestyle without any intervention. Fall-related physical factors (body composition and physical function parameters) and psychological factors (Korean Falls Efficacy Scale score, Fear of Falling Questionnaire score) before and after the 12-week interventional period were examined in person by an exercise specialist blinded to the group allocation scheme.ResultsOf the 30 women enrolled, 23 completed the study. Compared to women in the control group (n=13), those in the intervention group (n=10) showed significant improvements on the scores for the chair stand test (95% confidence interval -10.45 to -5.94, P<.001), Berg Balance Scale (95% confidence interval -2.31 to -0.28, P=.02), and Fear of Falling Questionnaire (95% confidence interval 0.69-3.5, P=.01).ConclusionsThe telepresence exercise program had positive effects on fall-related risk factors in community-dwelling elderly women with a high risk of falling. Elderly-friendly telepresence technology for home-based exercises can serve as an effective intervention to improve fall-related physical and psychological factors.Trial RegistrationClinical Research Information Service KCT0002710; https://cris.nih.go.kr/cris/en/search/ search_result_st01.jsp?seq=11246 (Archived by WebCite at http://www.webcitation.org/6zdSUEsmb)

A Study on the Mediating Effects of Leisure Satisfaction in Correlation between Daily Stress and Solitude

본 연구는 노인복지관, 경로당 등 여가복지시설을 이용하고 있는 노인을 대상으로 구조화된 설문지를 이용하여 실제적인 조사를 통하여 여러 가지 변수들이 노인의 여가만족에 미치는 영향요인을 조사하여, 노인들의 일상적 스트레스가 고독감에 영향을 미칠 때 여가만족의 매개효과를 검증하여 실무적 시사점을 제시하는 것이다. 이에 본 연구를 위해 총550부가 배부되어 총523부가 회수되었으며 총 440부가 분석에 사용되었다. 본 논문의 연구결과와 그에 따른 실천적 제언은 첫째, 노인들의 일상적 스트레스는 여가만족에 부적영향을 미치는 것으로 나타나, 노인들의 일상적 스트레스는 최소화시켜야 할 것이며, 이를 위하여 노인들의신체적 건강을 위한 예방적 프로그램과 가족 및 지역사회의 정서적 지지 프로그램을 확대 및 강화하여야한다. 둘째, 노인들의 여가만족은 고독감에 부적 영향을 미치므로, 여가만족이 높으면 고독감을 감소시키는것으로 나타나, 여가활동이 노후생활 만족에 중요한 요인임을 인식하고, 여가만족에 적극적인 개입이 필요하다. 셋째, 노인들의 일상적 스트레스는 고독감에 정적 영향을 미치는 것으로 나타나, 다양한 방법으로 여가활동 참여를 촉진할 수 있는 정책을 모색하여야 할 것이다. 넷째, 노인들의 일상적 스트레스와 고독감 간의 관계에서 여가만족은 부분 매개효과가 있는 것으로 나타났다.This is practice research employing structuralized questionnaire sheets for a survey targeting the aged using leisure and welfare facilities such as welfare centers for the aged and senior citizen centers. The purpose of this study is to examine how diverse variables influence leisure satisfaction in the aged, verify the mediating effects of leisure satisfaction in correlation between daily stress and solitude in the aged, and present practical implications based on that. The findings and implications of this study are as follows. First, daily stress influences leisure satisfaction negatively in the aged, so it is needed to reduce their daily stress as much as possible. To realize this, it is necessary to increase and enhance preventive programs for their physical health and also emotional support programs operated by families or communities. Second, since leisure satisfaction influences solitude negatively in the aged, so when leisure satisfaction is higher, solitude becomes reduced. We should be aware that leisure activity is one of the crucial factors for aged life satisfaction and intervene with their leisure satisfaction aggressively. Third, daily stress influences solitude positively in the aged; therefore, we should devise policies to facilitate their leisure activity participation in multilateral ways. Fourth, in correlation between daily stress and solitude in the aged, leisure satisfaction has partly mediating effects.

경로당 이용 고령후기 노인의 활동적 노년을 위한 연구

본 연구의 목적은 경로당을 이용하는 고령후기 노인들의 생활을 분석하고, 이를 바탕으로 활동적 노년의 실현 방안을 제시하는 것이다. 현상학적 연구방법(심층인터뷰·참여/비참여 관찰·필드노트 작성)을 활용하여 서울의 경로당을 이용하고 있는 80세 이상의 노인 8명을 연구 참여자로 선정했다. 수집된 자료는 Colaizzi의 현상학적 분석방법으로 6가지의 구체적 단계를 거쳤다. 연구결과, 고령후기 노인의 특성으로 총 14개의 주제와 6개의 주제묶음이 도출되었다. 6개의 주제묶음은 , , , , , 이다. 이 결과를 바탕으로 고령후기 노인의 관점에서 실현 가능한 활동적 노년은 ‘경로당’을 이용하는 것으로, 모든 고령후기 노인들로 하여금 ‘가고 싶은’ 곳으로 재정비가 필요하다. 고령후기 노인의 활동적 노년 실현 방안으로 첫째, ‘참여’는 고령후기노인들의 체력적인 한계와 건강관리에 초점을 둔 전통문화 세대교류 프로그램 및 자원봉사 참여로 실천한다. 둘째, ‘건강’은 고령후기 노인에게 적합한 와식·좌식·입식체조와 보다 확장된 건강 체크를 실천한다. 셋째, ‘안전’은 안전한 보행훈련·치매예방관리운동·심리치료 및 안전한 죽음을 위한 준비 교육을 실시한다. 넷째, 경로당의 재정비 및 인력배치를 위한 과감한 투자와 정책 시행이 요구된다.

Association between knee extensor strength and pulmonary function in the female elderly.

[Purpose] The purpose of this study is to study the impact of knee extensor strength, which is an index of the degree of physical activity on lung capacity in older women. [Subjects and Methods] Thirty-three older women who participated in the exercise program hosted by a senior citizen center and S University located in Busan. Force vital capacity (FVC) was measured with digital spirometry (Pony FX, COSMED Inc., Italy). Three rounds of measurements were taken for each participant, with one-minute rests between the tests. The means were computed for analysis. Knee extensor strength was measured with a hand-held dynamometer (HHD, MicroFET2®, Hogan Health Industries, Inc., UT, USA). Three rounds of measurements were taken for each knee extensor muscle, after which the mean of the measurements was taken for each side. The higher knee extensor muscle strength value was used for the analysis. [Results] Knee extensor muscle strength had significant positive correlations with Forced vital capacity (FVC), Forced expiratory volume in 1 second (FEV1), Peak expiratory flow (PEF), and Forced expiratory flow (FEF 25–75%). Association between knee extensor muscle strength and pulmonary function suggested that weakening of the elderly’s knee extensor muscle strength has an adverse effect on pulmonary function, although the explanatory power was weak. [Conclusion] Knee extensor muscle weakness in elderly females restricts their physical activity and mobility, thereby serving as a key factor in decreasing their lung capacity.

Phenomenological Study on Time Experience of the Elder While Playing Hwatu in Senior Citizen Center

Phenomenological Study on Time Experience of the Elder While Playing Hwatu in Senior Citizen Center

Study on Improving the Function of Senior Citizen Centers at RISK in KOREA

The aim of this research is to study the functions of senior citizen leisure and welfare centers that are auton-omously managed and operated by senior...

Equilíbrio, mobilidade funcional e qualidade de vida em idosos participantes e não participantes de um centro de convivência

***Balance, functional mobility and quality of life in eldery participants and non-participants of a community center***AIMS: To evaluate balance, functional mobility and quality of life in elderly participants and non-participants of a senior citizen center.METHODS: Subjects aged 60 or over, participating in a senior citizen center in the city of Santo Amaro da Imperatriz, in Santa Catarina (Participating Group: PG) were evaluated. As a control group for comparison, elderly residents of the same community who did not participate in any senior center (Non-Participating Group: NPG) were included. Subjects with locomotion disabilities, neurological diseases that affected the gait or balance, and inability to understand the general commands indispensable to the tests were excluded. The sample was non-probabilistic intentional. To evaluate the balance, the Berg Balance Scale was applied, and for assess functional mobility we used the Timed Up and Go and the Anterior Functional Scope tests. Quality of life was assessed by the SF-36 questionnaire. The data were treated by descriptive and inferential statistics, considering p≤0.05 as significant.RESULTS: Fifty-six elderly participated, being 28 of PG and 28 of NPG. By means of the Berg Balance Scale, we found a better balance in PG (mean 53.2±2.1 points) compared to NPG (mean 48.8±6.2 points) (p=0.001). In the Timed Up and Go test, PG spent in average less time to perform the test (9.5±1.5 seconds) than NPG (13.1±5.1 seconds) (p=0.001). We observed a better quality of life in all domains of SF-36 in PG when compared to NPG (p&lt;0.05).CONCLUSIONS: Elderly people who participated in a senior citizen center presented better balance, functional mobility and quality of life than elderly people from the same community who did not participate in senior centers.

Study on the Influence Factors of User Satisfaction of Senior Citizen Centers

Study on the Influence Factors of User Satisfaction of Senior Citizen Centers

Study on the Influence Factors of User Satisfaction of Senior Citizen Centers

Study on the Influence Factors of User Satisfaction of Senior Citizen Centers