No abstract available.
Aged ; Frail Elderly ; Humans

No abstract available.
Aged ; Frail Elderly ; Humans

PURPOSE: The purposes of this study were to examine the amount of daily fluid intake among nursing home residents and to explore the caregiver's perceived barriers to elderly's fluid intake. METHOD: Data was collected from 111 nursing home residents and 64 caregiver's in 4 nursing homes. A random, non-consecutive three days of 24 hour fluid intake was measured and recorded. The caregiver's perceived barriers to elderly's fluid intake was assessed using a structured questionnaire. RESULTS: The average amount of daily fluid intake was 1,035(SD=359)ml with the range of 210ml to 2,050ml. About 52% (n=58) of the subjects had a less than adequate fluid intake. The amount of daily fluid intake was significantly associated with age, mental status, physical functioning, and the number of oral medications ordered. The most frequently mentioned caregiver's perceived barrier was elderly's concern about incontinence with increased fluid intake. CONCLUSION: Inadequate fluid intake among nursing home residents is prevalent. To enhance adequate hydration of nursing home residents, an institution wide nursing intervention is necessary.
Aged ; Aged, 80 and over ; Caregivers/*psychology ; *Drinking ; Female ; *Frail Elderly ; Humans ; Male ; *Nursing Homes ; Urinary Incontinence/psychology

PURPOSE: This study aimed to identify the associated factors of the perceived health status of the elderly in Korea and to provide basic data for developing nursing interventions for the elderly's health management. METHODS: This study used a descriptive correlational research design. The subjects of this study were 335 elderly people over 60 yr living in an urban city. Data were collected through personal interviews using questionnaires from September 2006 to March 2007. Empirical indicators of perceived health status were measured by SF-36, nutritional screening initiative (NSI), activities of daily living (ADL) Index, and instrumental activities of daily living (IADL) scale. The collected data were analyzed by descriptive statistics, Pearson's correlation, and hierarchical regression. RESULTS: The mean age of the subjects was 72.8 and 57.0% of subjects were female. 41.5% of variance in physical health was explained by nutrition, ADL, IADL, and the number of years attending school. Among them the most important factor was ADL. 13.2% of variance in mental health was explained by the number of family, nutrition, and IADL. Among them the most important factor was nutrition. CONCLUSION: It is necessary to develop supportive interventions for improving the perceived health status of elderly people by considering the most important factors shown in this study.
*Activities of Daily Living ; Aged ; Aged, 80 and over ; Female ; Frail Elderly/*psychology ; *Health Status ; Homes for the Aged ; Humans ; Interviews as Topic ; Korea ; Male ; Middle Aged ; *Nutritional Status ; Questionnaires ; Urban Population

PURPOSE: The purpose of this study was to investigate the relationships among depression, somatic symptoms, and activities of daily living of elderly women in urban areas. METHOD: After obtaining participant's consent forms, a one-time, face-to-face, and private interview was conducted with each participant from Sep, 2006 to Jan, 2007 by trained graduate-level students. The questionnaire consisted of K-GDS, PHQ-15, Barthel Index, and Instrumental Activity of Daily Living. The collected data was analyzed with the SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, Pearson correlation coefficients, and multiple regression. RESULTS: The major findings of this study were as follows 1) 34.1% of participants belonged to the depression group. 2) There were significant relationships between depression and monthly income, somatic symptoms, ADL, IADL, and number of chronic disease. 3) Significant factors influencing depression were somatic symptoms, ADL, and monthly income. CONCLUSION: The results of this study give useful information for designing interventions and program development for appropriate depression management and care for elderly women.
*Activities of Daily Living ; Aged ; Aged, 80 and over ; *Depression ; Female ; Frail Elderly/*psychology ; Health Status ; Humans ; Interpersonal Relations ; Middle Aged ; Questionnaires ; Social Isolation ; Urban Population

PURPOSE: The purpose of this study was to examine the relationship among fear of falling, pain, anxiety and depression, and to identify influencing factors in elderly women patients with degenerative arthritis living in the community. METHOD: The subjects of this study were 297 elderly women patients with degenerative arthritis. Data was collected by personal interviews using questionnaires. Data was analyzed by the SPSS(version 12.0) computer program, and it included descriptive statistics, one-way ANOVA, Pearson correlation coefficient, and Stepwise multiple regression. RESULTS: There was a significant difference (p= .000) in fear of falling according to the level of pain, anxiety, and depression. There was a significant positive correlation among fear of falling, pain, anxiety and depression. Depression, pain, number of medication, age, and anxiety showed significant predictors (43.5%) for fear of falling. CONCLUSION: This study suggested that thoroughly assessing predictors making an impact on fear of falling in the initial nursing assessment is the most important for falls prevention of elderly women patients with degenerative arthritis in the community.
*Accidental Falls/prevention & control ; Aged ; Aged, 80 and over ; Anxiety/psychology ; Depression/psychology ; *Fear ; Female ; Frail Elderly/psychology ; Humans ; Interviews as Topic ; Osteoarthritis/*psychology

PURPOSE: The purpose of this study was to describe the operation, staffing, and services provided at adult day care centers in Korea. METHODS: The study was a cross-sectional descriptive survey. The subjects were 209 centers among 280 centers registered in Korea (response rate 74.6%). The data was collected from August to December in 2006. RESULTS: 48.8% of centers were located in a city area. The centers were based on the Social Model 65.5% of the centers were open Monday to Friday, an average of 7~8 hours per day. Dementia, stroke or frail elderly could use the center, and 57.4% of centers were used for dementia and stroke elderly together. The enrollment of elderly was 13.5. The number of total staff was 8.27, the number of RN's and social workers was 0.67, and 2.54 respectively. The social services(Meal preparation 98.6%, Special event 98.1%, Transportation, 97.1%) were provided more than the health services(Physical therapy 98.1%, ADL training 95.2%, Counseling 84.7%, Vaccination 82.8%, Health monitoring 78.9%, Health education 78.5%, Bathing 66.1%, and Speech therapy 28.2%). CONCLUSION: These results suggest we have to develop a health-focused adult day health care model based on the needs of elderly and their families. Nurses will have an important role in adult day health care.
Aged ; Aged, 80 and over ; Community Health Centers/economics/manpower/*organization & administration ; Cross-Sectional Studies ; *Day Care ; Demography ; *Frail Elderly ; Humans ; Korea ; Questionnaires ; Social Welfare

PURPOSE: This study was to develop and to evaluate a health diary program for solitary elderly. METHODS: The research design was a nonequivalent control group pretest-posttest design. There were 30 subjects the experimental group and 54 in the control group among solitary elderly over age 65. The independent variable was the health diary program, and the dependent variables were perceived health status, ADL, IADL, Blood pressure, blood sugar, quality of life, self efficacy and health promoting behaviors. The health diary program was performed for 50minutes, twice a week for 8 weeks. Data was collected from April 3 to June 23, 2006. RESULTS: The experimental group showed a significant difference in perceived health status, blood sugar, ADL, IADL, quality of life, self efficacy, and health promotion behaviors than the control group. There were no significant differences in systolic & diastolic blood pressure. CONCLUSION: A health diary program showed good effects on improving health status, quality of life, self efficacy, and health promotion behaviors. Therefore, we recommend this program be utilized as a health promoting program for the solitary elderly in the community.
Aged ; Aged, 80 and over ; Female ; *Frail Elderly ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Health Promotion/*methods ; Health Status ; Humans ; Male ; Program Evaluation ; Quality of Life ; Self Efficacy

PURPOSE: This study was to develop and to evaluate a health diary program for solitary elderly. METHODS: The research design was a nonequivalent control group pretest-posttest design. There were 30 subjects the experimental group and 54 in the control group among solitary elderly over age 65. The independent variable was the health diary program, and the dependent variables were perceived health status, ADL, IADL, Blood pressure, blood sugar, quality of life, self efficacy and health promoting behaviors. The health diary program was performed for 50minutes, twice a week for 8 weeks. Data was collected from April 3 to June 23, 2006. RESULTS: The experimental group showed a significant difference in perceived health status, blood sugar, ADL, IADL, quality of life, self efficacy, and health promotion behaviors than the control group. There were no significant differences in systolic & diastolic blood pressure. CONCLUSION: A health diary program showed good effects on improving health status, quality of life, self efficacy, and health promotion behaviors. Therefore, we recommend this program be utilized as a health promoting program for the solitary elderly in the community.
Aged ; Aged, 80 and over ; Female ; *Frail Elderly ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Health Promotion/*methods ; Health Status ; Humans ; Male ; Program Evaluation ; Quality of Life ; Self Efficacy

Public health strategies designed to accomodate the ever-increasing human lifespan are urgently required. A good clinical understanding of frailty, as well as knowledge regarding how to prevent it, will therefore be required in order to overcome this challenge. Sarcopenia is an important component of the frailty syndrome, and its association with osteoporosis can lead to fractures and incident disability. Therefore, this review examined the literatuire pertaining to the association of sarcopenia with osteoporosis in order to assess preventive strategies.
Aged ; Frail Elderly ; Humans ; Osteoporosis ; Public Health ; Sarcopenia