II. 연구대상 및 방법
본 연구를 위한 조사는 2013 년 10 월에 수원시 경로당 및 노인정신보건센터를 방문한 60 세 이상의 노인 5,621 명을 대상으로, 조사원들이 1:1 대면 접촉을 통해 설문지를 작성하였다. 개별 면접 후 선발된 조사원들은 정신과 전문의에게 8 시간 이상 설문조사 방법에 대한 교육을 받았다. 대상자는 설문지의 내용을 이해하며 의사소통이 가능한 자로 한정하였고, 단축형 노인우울척도 (Hoyl Five-item version of the Geriatric Depression Scale: Hoyl GDS- 5)에서 3 점 이상인 대상자와 치매 진단을 받고 치료 중이거나 거동이 어려울 정도의 심각한 신체질환을 가진 대상자는 제외하였다. 최종 연구에 참여한 인원은 4,373 명 이었다. 본 연구는 모든 대상자들의 문서화된 사전 동의 (informed consent) 하에 진행되었고 아주대학교 병원 기관윤리위원회의 승인을 받았다.
Our study has several strengths. First, to our knowledge, we showed the significant association between MS and asthma intheelderly patients for the first time. Second, this study is based on data from a nation-wide sur- vey that is representative of a large population. Third, mediation analyses provided a possible explanation of the link between MS and asthma, which supports the hypothesis that MS could be related to asthma through IR and systemic inflammation. We also admit limitations. Most of all, asthma was defined only based on self-reported wheezy episodes in our study. Although a questionnaire allowing the self-reporting wheezy episodes has been generally used in other studies for diagnosing asthma 6,29 , other various conditions can be related with wheezing sound. Of these, cases who could have chronic obstructive pulmonary disease were excluded based on spirome- try results in our study, but we admit that our definition based on a self-report questionnaire could overlap with exercise-induced bronchoconstriction related to conditions other than chronic asthma such as obesity, lack of fit- ness or vocal cord dysfunction 30,31 . Second, the KNHANES survey did not measure airway inflammation or other systemic inflammatory biomarkers such as C-reactive protein. Oxidative stress was not measured. Third, our study is cross-sectional, and we could not verify the cause-effect relationship. There is a possibility that asthma increased the risk of MS inelderly patients. In fact, the mediation analysis showed a statistical significance inthe analysis of the direction from asthma to MS (data not shown). Fourth, there are also many elderly asthmatics without MS, although we focused on the link between MS andelderly asthma. Interestingly, their onset ages were slightly different from those with MS. However, we could not clarify the characteristics and mechanisms of asthma inelderly without MS. Fifth, because characteristics of participants included in this study were signifi- cantly different from those excluded, our findings should be interpreted with caution.
주제어 : 노인, 구강보건지도, 구강조직 재생, 섭식 연하 기능 훈련, 노인의 태도, 융합
Abstract Dental hygienists have received specialist training and experience to identify relationships that affect the attitude towards theelderly dental hospitals, general hospitals, working in a university hospital were survey of 264 people. The relationshipbetweentheelderly oral health specialist education experience andthe attitude toward theelderly was influenced by the attitude toward theelderly (r=0.160, p <0.01), the experience of theelderly oral tissue regeneration education was related to the attitude toward theelderly (r=0.178, p <0.01), and feeding and swallowing function training education was positively correlated with the attitude toward theelderly (r=0.173, p <0.01). Therefore, it is necessary to develop curriculum inthe maintenance training course for the dental hygienists who are experts in oral health care for theelderly, and to develop the curriculum for elderly dental hygiene course inthe school education.
Objectives: This study aimed to assess therelationshipbetween dental care needs and dental service use in Korean elderly. Methods: Using the sixth Korea National Health and Nutrition Examination Survey, from 22,948 individuals, 1,572 (male 701, female 871) elderly individuals aged above 65 years were included inthe study. All analyses were stratified by sex. Results: In males, the group with subjective needs was 3.74 (95% confidence interval [CI]: 2.58-5.41) times more likely to use dental services than the group without subjective needs. For females, the group with subjective needs was 2.17 (95% CI: 1.57-2.98 ) times more likely to use dental services than the group without subjective needs. Conclusions: To conclude, theelderly with symptoms, used the dental services for pain relief and functional recovery. Fundamental efforts to improve oral health are needed, such as providing treatment, prevention and educational services, besides efforts to provide treatment- oriented dental services. Further research is needed for the middle andelderly individuals who are inthe blind spot of the existing policy.
주제어 : 노인, 신체활동, 우울감, 자살생각, 스트레스, 식생활
Abstract The purpose of this study was to investigate therelationshipbetween physical activity, diet and mental health of elderlyand to use the study as basic data for a program development for elderly. This was a secondary data analysis study using the 2015 National Health and Nutrition Survey andthe study subjects included 1,484 individuals aged 65 and over. The results showed that depression and stress perception in young-old were higher than old-old’s andthe suicidal ideation rate of old-old was higher than young-old’s. In case of eating patterns, ‘poor eating’ in old-old was higher than young old’s. Regression analysis showed that middle-intensity physical activity and eating patterns were associated with mental health of theelderly. Based on the results, it is necessary to develop a differentiated nursing intervention program suitable for theelderly by age.
1 Department of Dental Hygiene, Wonkwang Health Science University, 2 Department of Dental Hygiene, Suwon Science College, 3 Department of Dental Hygiene, Daejeon Institute of Science and Technology
This study is conducted on 1,725 elderly people over 65 years of age using 2018 data obtained from the 7th National Health and Nutrition Survey (KNHANES) data. In this study, an analysis is performed considering the general characteristics of theelderlyand their oral health status (authoring discomfort, speech problems, etc.) to confirm therelationshipbetweentheelderly’s unmet dental experience and depressive experience. The results of this study showed that depressive experiences by theelderly resulted in unmet dental medical experiences, and it was also found that the income level andthe complaint of chewing discomfort had an effect. Based on these results, it is believed that oral health policies should be developed to improve the unmet dental medical experience by considering the socio-economic level of theelderlyand depressive experiences. This policy development is expected to lead not only to the improvement of oral health for theelderly, but also to improve the quality of life for theelderly through health promotion.
주제어 : 국민건강영양조사 , 우울증세 , 노인 , 만성질환 , 주관적 건강상태
Abstract This study aims to identify depressive symptoms status and factors to affect depressive symptoms intheelderly. The research selected 1,429 adults aged over 65, who appeared with depressive symptoms, from the fifth Korea National Health and Nutrition Examination Survey 2012. We analyzed states of depressive symptoms using descriptive statistics. Logistic regression analysis was used to examine the main factors associated with depressive symptoms intheelderly. The result shows that depressive symptoms intheelderly is significantly associated with gender, age, income level, subjective health status, smoking andthe number of chronic diseases. Females, higher age, lower income, lower subjective health status, smoking andthe higher the number of chronic diseases were the significant factors of higher depressive symptoms. Therefore, it is necessary to develop effective social programs and individualized approach to improve the quality of life intheelderly. In the future, these findings can be used as important data for health care policy and assessment.
주제어 : 노인, 저작능력, OHIP-14, 삶의 질, 융복합
Abstract The purpose of this study was to investigate the association between masticatory ability and oral health-related quality of life using the Oral Health Impact Profile (OHIP-14) of theelderly. Total 195 elderly subjects were assessed for subjective masticatory ability, objective masticatory ability and OHIP-14 concerned with quality of life. When masticatory ability is low, the odds ratio(OR) of the quality of life is worse was increased. After adjusted age, residence, education, denture, odds ratio of subjective masticatory ability was 2.42(p<0.05) increased and odds ratio of objective masticatory ability was 7.58(p<0.001) increased. This study showed significant association between masticatory ability andthe total OHIP-14 score of the quality of life of theelderly. Masticatory ability can affect quality of life oral health-related inelderly. While following up on various studies were carried out as a long-term, I hope it will be of help in improving the quality of life of theelderly with maintaining a healthy oral health.
Model Ⅲ: Age, education, economic activity, living arrangement, and chronic disease adjusted model
총괄 및 고안
노년층은 대부분 한 가지 이상의 만성질환을 가지고 있으므로 노년기 건강정책은 비록 질병이 있더라도 남 은 생애를 타인에 의존하지 않고 지역사회에서 자립적으로 생활할 수 있도록 기능장애를 예방하고 지연시키 는 데 초점을 맞추어야 한다. 따라서 본 연구에서는 전신건강의 일부로서 구강건강이 노인의 노쇠수준에 영향을 미칠 것으로 생각하여 일부 지역사회 거주 노인을 대상으로 노쇠와 구강건강 간의 관련성을 파악하여, 지역사회 차원에서 실천할 수 있는 구강건강증진 중재 프로그램의 개발 및 적용에 필요한 기초자료로 활용하 고자 한다.
노인들의 건강상태에 영향을 미치는 질환 중 당뇨병은 65 세 이상 노인인구의 사망원인 중 4위를 차지하고 있으며, 소 득수준의 향상으로 인한 생활양식과 식습관의 변화 , 비만, 수 명연장 등 여러 요인들로 인하여 당뇨병의 유병률은 지속적 으로 증가되고 있는 실정이다. 국민건강영양조사 결과에 따르 면 , 당뇨병은 65세 이상 노인인구에서 남자 24.3%. 여자는 19.3%로 그 유병률이 높은 것으로 보고되고 있다. 특히 노인 들의 당뇨병 관리에 대해서는 의사로부터 진료를 받지 않은 미인지율이 60-69세의 경우 남자는 15.6%, 여자는 14.5%, 70 세 이상의 경우 남자는 22.7%, 여자는 15.9%였으며, 진단을 받았으나 약물치료를 하지 않고 있는 비치료율은 60-69세의 경우 남자는 27.2%, 여자는 23.3%, 70세 이상의 경우 남자는 31.8%, 여자는 26.2%인 것으로 보고되어(Ministry of Health and Welfare and Korea Centers for Disease Control and Prevention, 2013), 당뇨병으로 진단을 받지 않거나 받았음에도
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Although many studies have investigated police offi- cers’ stress, few studies have addressed the relationships among job stress, coping, and SWB. Furthermore, even inthe same occupational environment, well-being levels may differ depending on individuals’ responses. How- ever, previous studies have focused on gender differences or did not include emotional variables in SWB. Explor- ing the roles of coping style as a mediator to the rela- tionship between job stress and SWB is of practical importance, because such knowledge can improve our understanding of police officers’ circumstances, enabling the development of interventions that will be beneficial to their life and work performance. Therefore, this study explores the job stress, coping styles, and SWB of Korean police officers. It examines the relationships between job stress, coping style, and SWB and investi- gates the mediating role of coping in these relationships.
The qualitative analysis involved applying the three stages of inductive content analysis devised by Elo and Kyngäs —
open coding, categorization, and abstraction—to understand the perspectives on life of elderly women living alone andthe implic- it categories related to their self-transcendence. The categoriza- tions included ambivalence toward oneself, the limits of interper- sonal relationships, negative self-awareness toward aging, nega- tive emotions toward life, the desire to pursue spirituality, aware- ness of a better life, andthe disharmony between one’s desires for the rest of life andthe reality. These formed eight meaning clus- ters at the final level of abstraction: self-expression and respect, overcoming feelings of regret, caring, forgiving, building relation- ships, living an altruistic life, having a good death, and finding purpose and meaning in life.