본 논문은 전후기 여성 독거노인의 건강관련 삶의 질 영향 요인을 알아보고자 하는 서술적 조사 연구로 2017년 <여성 독거노인의 통증, 영양위험, 외로움, 지각된 건강상태가 건강관련 삶의 질에 미치는 영향>인 일차연구 자료와 추가 수집한 자료 총 85부를 이용한 이차분석 연구이다. SPSS/WIN 18.0 program을 이용하여 분석한 결과, 전기 여성 독거노인의 건강관련 삶의 질 영향 요인은 통증, 규칙적인 운동, 사회적지지 순으로 설명력 70.6%이며 후기 여성 독거노인의 건강관련 삶의 질 영향 요인은 규칙적인 운동, 일상생활수행능력, 통증 순으로 건강관련 삶의 질에 영향을 주는 것으로 설명력은 69.7%로 나타났 다. 따라서 통증 감소를 위한 방안과 사회적지지 체계의 강화, 생활체육 활성화 및 그에 따른 일상생활 수행 유지를 위한 노력 등의 모색을 통해 건강관련 삶의 질을 향상 시킬 필요가 있다.

본 연구는 여성 노인을 대상으로 12주간의 아쿠아로빅 운동이 혈중지질, 동맥경화지수 및 간 기능에 미치는 영향을 규명하는데 그 목적이 있으며, 이를 위해 만 65-80세 여성 노인을 대상으로 아쿠아로빅군 13명, 대조군 12명으로 분류하여 아쿠아로빅을 12주, 주 2회, 60분 동안 실시하였다. 본 연구의 운동강도는 운동자각도를 설정하여 1-4주는 RPE 11-12, 5-8주는 RPE 13-14, 9-12주는 RPE 14-15를 유지하였다. 아쿠아로빅 실시 전·후의 항목별 차의 비교를 위해 그룹 내 차이는 대응 t 검정, 그룹 간 차이는 독립 t 검정, 상호작용 검증을 위해 이원 반복측정 분산분석을 사용하였으며, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과 아쿠아로빅군의 LDL-C(p<.05)이 유의하게 감소하였으며, TC, TG, LDL-C에서 상호작용효과가 있는 것으로 나타났다. 동맥경화지수는 LDL-C/HDL-C, TG/HDL-C에서 상호작용효과가 나타났으며, 간 기능은 아쿠아로빅군이 AST(p<.001)의 유의한 감소를 나타냈다. 이상의 결과 노화와 신체활동 부족은 곧 심혈관 질환과 대사기능의 위험요인이라는 점을 감안할 때, 규칙적인 아쿠아로빅은 여성 노인의 혈중지질, 동맥경화지수 및 간 기능을 개선함으로써 노인기의 심혈관건강의 증진과 대사증후군 예방을 위한 효과적인 운동방법으로 권장된다.

본 연구는 한방기공운동에 참여하는 여성노인들의 재미요인이 건강관련 삶의 질에 미치는 영향력을 검증하기 위하여 수행되었다. 구체적으로는 한방기공운동에 참여하는 여성노인들의 인구통계학적인 내용에 따라 연령, 학력, 운동경력에 따른 두 변인과의 영향력을 분석하였고, 준거변인인 건강관련 삶의 질과 예언변인인 재미요인에 관계는 어떠한 관계로 형성되어 있는가를 알아보았다. 분석 결과는 한방기공운동의 재미요인이 건강관련 삶의 질에 영향을 미치고 있다는 실질적인 효과를 규명하였으며, 한방기공운동이 여성노인운동의 긍정적인 프로그램으로 활용될 수 있다는 근거를 제공하였다.

본 연구는 여성노인을 대상으로 라인댄스와 저항성운동을 적용한 복합운동프로그램이 신체수행능력, 골밀도 및 부갑상선호르몬에 미치는 영향을 구명하기 위하여, 만65세~75세 여성노인을 대상으로 운동군 11명, 대조군 11명으로 분류하여 회당 60분씩 주 2회 라인댄스, 1회 저항성운동을 12주간 실시하였다. 운동 수행강도는 운동자각도(RPE)를 이용하여 ‘가볍다’에서 ‘약간 힘들다’ 정도인 11~14 사이를 유지 하였다. 라인댄스와 저항성운동 전·후에 측정한 자료의 그룹 내 차이 비교를 위해 대응표본 T검정, 그룹 간차이는 운동 전·후의 변화량을 산출하여 독립표본 T검정을 실시하였고, 측정변인들에 대한 그룹 및 시기간 상호작용을 검증하기 위해 이원배치 반복측정 분산분석으로 하였으며, 각 항목별 통계적 유의수준은 .05로 설정하였다. 그 결과, 운동군이 신체수행능력 중 균형(p<.05), 보행속도(p<.01), 의자에서 일어서기(p<.001), SPPB 종합점수(p<.001)가 증가하였으며, 골밀도는 요추(L2~L4)골밀도에서 운동군이 유의하게 증가하였고(p<.05), T-score점수는 운동군이 유의한 증가를 보였으나(p<.01), 대조군은 유의한 차이가 나타나지 않았다. PTH수준은 운동군이 유의하게 감소하였고(p<.05), 대조군은 유의한 차이가 나타나지 않았 다. 이상의 결과 규칙적이고 지속적인 신체활동은 여성노인의 신체수행능력, 골밀도 및 부갑상선 호르몬의 변화에 긍정적인 영향을 미친 것으로 사료된다.

평형능력은 보행에 영향을 미치고, 보행속도는 노인의 건강한 척도를 말해주는 기준이 된다. 이 연구의 목적은 체성감각계 지원이 여성 노인의 보행 및 평형감각에 미치는 영향을 보고자 하였다. 평소 지팡이를 사용하지 않고, 규칙적으로 운동을 하지 않으며, 이비인후과적으로 이상이 없는 노인으로 평균 연령이 75세 여성 노인 61명을 실험군 31명과 통제군 30명으로 분류하였다. 종속변인으로는 2.44m왕복걷기, 10m 일반걷기 및 빠르게 걷기, 6분 걷기를 실시하였다. 평형감각 검사로는 뉴로컴사의 EquiTest를 이용하여 분석하였다. 연구 결과 2.44m 왕복걷기와 10m 일반걷기에서는 유의한 차이가 없었으나 10m 빠르게 걷기, 6분걷기에서는 유의한 효과를 보이는 것으로 나타났다. 평형감각에서는 조건 2, 3, 4, 6에서 유의한 효과를 보이는 것으로 나타났다. 결론적으로 체성감각계 지원이 노인 여성들의 보행 및 평형유지 능력에 유의한 효과를 보이는 것으로 나타나 지팡이의 적극적 사용이 권장된다 할 수 있겠다.

본 연구는 대사증후군을 가진 65세 이상 노인여성을 대상으로 마루운동을 실시하여 노인활동체력, 혈중지질 및 동맥경직도에 미치는 영향을 조사하였다. 대사증후군을 가진 여성노인 41명을 무작위로 운동군(23명), 통제군(18명)으로 배정하였다. 운동군은 총 12주간 주 3회로 실시하였으며, 운동강도는 30%-60%의 HRR로 점진적으로 증가시켰다. 본 연구결과, 운동군이 노인활동체력(하지근력, 상지근력, 유연성, 심폐지구력 및 신체조성(체지방률, 제지방량, 허리둘레)), 혈중지질(총 콜레스테롤, 중성지방, HDL 콜레스테롤 및 LDL 콜레스테롤) 및 동맥경 직도에서 실험 전·후 긍정적인 변화를 보였고, 통제군에 비해 유의한 차이를 나타냈다. 결과적으로 대사증후군을 가진 여성노인들은 마루운동 프로그램 참여에 따라 노인활동체력이 향상되고, 혈중지질과 동맥경직도에 긍정적인 변화가 일어났다. 따라서, 마루운동프로그램은 대사증후군 개선에 효과적인 프로그램임을 시사한다.

The population of the aged is growing in the modern society, and their health problems, economic difficulties, feeling of isolation, time of boredom are known to contribute to both increased level of depression and lowered self-esteem. Furthermore, the situation has been even worse for the elderly living alone in the relatively vulnerable environments. We studied the effects on the depression and self-esteem of female elderly living alone by the psychotherapy program using therapy bugs. This study examined the reactions of females elderly living alone before and after the introduction of psychotherapy program using therapy bugs. The participants in this study were 8 elderly living alone women. The experimental group was provided with 10 incidences of the developed psychotherapy program using therapy bugs. The pre and post-tests were analyzed with Wilcoxon matched-pairs signed-ranks test using SPSS/WIN 19.0. The study found that the psychotherapy program using therapy bugs produced beneficial effects on the experiment group elderly living alone women; a better depression and self-esteem (p<0.05). In conclusion, the practice of psychotherapy program using therapy bugs was found effective in lowering depression of and improving self-esteem of the elders living alone. These findings indicate that the developed psychotherapy program using therapy bugs produced beneficial effects on the elderly.

Objective : Dementia prevention program has been applied in Center for dementia by the occupational therapists. We evaluated the efficacy of this program to the elderly non-demented women in senior citizens center for cognitive, physical function and depression.Methods : We applied this program to women subjects from a senior citizens centers in 12 sessions. Cognitive and physical functions and depression were compared between pre and post-intervention with Korean Mini-Mental State Examination (K-MMSE), Timed-Up and Go test (TUG), One Leg Standing Test (OLST) and Geriatric Depression Scale Short Form-Korea version (GDSSF-K).Results : We enrolled 26 non-dementia women from four senior citizens centers in Seoul Yangcheon-gu. The K-MMSE improved after the dementia prevention program significantly (p=.00). The GDSSF-K was significantly different between pre and post-intervention (p=.02). For physical function, TUG (p=.02) and OLST in opening eyes were significantly improved (respectively, p=.00 in right side, and p=.00 in left side). OLST in closed eyes were tend to be improved after the intervention, however, they were not significantly different.Conclusion : The dementia prevention program of Center for dementia has proved to improve cognitive and physical function and to reduce depression in the non-demented women from senior citizens centers. These findings suggest that the dementia prevention program that has led by occupational therapist in Center for dementia can be applied other setting in a community.

The purpose of this study was to investigate the effect of taping on knee joint for patellofemoral compressive force (PCF) during stair descent for elderly women. Ten healthy elderly women voluntarily participated in this study. A three-dimensional motion analysis system and force plates were used to analyze the movements of the joints for the lower extremities. The results were as follows: There were no significant differences for the maximum PCF, maximum quadriceps contraction force and maximum knee extension moment (p>.05) but, there was a pattern decreasing all values with the taping during stair descent. There were significant differences for the knee and ankle angle on the event of maximum PCF (p<.05) and there was a pattern decreasing all values with the taping during stair descent. Therefore, taping on the knee would be effective to relieve the pain like patellofemoral pain syndrome in the knee joint.

현대의학의 발달과 생활수준의 향상으로 인해 급격한 고령화가 야기되어지고 있고 현대사회구조의 변화로 인해 다문화가정이 급증하고 있다. 이러한 현상은 한국사회에 이제까지 없었던 새로운 형태의 가정형태가 형성되고 있음을 의미하는데 새로운 가족 관계 중 특히 시부모와 며느리의 관계는 그 관계지속기간이 더 길어지고 있다. 이에 본 연구의 목적은 외국인 며느리를 둔 여성노인들이 최대한 행복과 만족을 느끼면서 살아가기 위한 삶의 질에 관한 연구를 하여 관련 문제와 욕구를 파악하고 적절한 사회복지서비스를 제공하는데 그 목적이 있다.

This study aimed to investigate the perception, consumption, and acceptability of convenience mealsin low-income female elderly attending a lunch program at a community well fare center. Using in-depth interviews, qualitative data were collected 11 elderly females (62.5±11.2y) living in Seoul. Participants tried to eat various foods in small-portionsat home, although they ate out what they were offered. Elderly females preferred lunch box-type meals containing a bowl of rice served with toppings, gruel, or Bibimbop due to the growing unavailability of cooking or preparing a meal. Side-dish type convenience mealswere also preferred among elderly females since boiled rice can be easily prepared according to individual preferences. In addition, participants preferred healthy foods. Convenience meal planning and production, appropriate kinds of foods, cooking methods, menus, and packaging should be selected based on the elderly's functional atrophy in chewing, swallowing,digestion, and metabolic diseases. Furthermore, food preferences and comfort foods among the elderlyneed to be identified and characterized. Therefore, more information, including bite size, cutting size, and food texture, should be provided to understand and develop convenience meals for the elderly.

The purpose of this study was to evaluate the effects of bridging stabilization exercise on balance ability and gait performance in elderly women. The subjects of this study were thirty-one elderly women over 65 years old in HongSung-Gun Senior Citizen Welfare Hall. The subjects were randomly assigned into one of three groups (trunk stabilization exercise on the mat, whole body vibration, and Swiss ball) and participated in each exercise program three times a week for 4 weeks. Each exercise began in the bridging position. The dynamic balance and gait were measured by limit of stability area using force plate, Berg Balance Scale (BBS), and Timed Up and Go Test (TUG). The results were as follows: 1) The limit of stability in three groups increased significantly in anterior-posterior and medial-lateral lean after 4-weeks intervention (p<.05). 2) There were no significant differences in the limit of stability among three groups after 4-weeks intervention (p>.05). 3) The BBS and TUG in three groups increased significantly after 4-weeks intervention (p<.05). 4) There were significant differences among three groups in BBS. Post-hoc test showed that Swiss ball exercise group was significantly higher than the mat and whole body vibration groups. 5) There were no significant differences TUG among three groups after 4-weeks intervention (p>.05). In conclusion, this study suggested that 4 weeks of the bridging stabilization exercises were effective on balance and gait in all three groups. Particularly Swiss ball exercise group showed higher improvement than two other exercise groups (mat, whole body vibration group).

The purpose of the study was to investigate the effectiveness of self-paced walking exercises in elderly women with hypertension, hyperglycemia, and hypercholesterolemia. Thirty-eight elderly women with hypertension, hyperglycemia, and hypercholesterolemia (16 hypertension, 11 hyperglycemia, 11 hypercholesterolemia), aged between 65 and 80, were invited to participate in this study. Each subject participated in a self-paced walking exercise five times a week for twelve weeks from 26 June to 16 September 2006. The changes between pre- and post-exercise were analyzed using the analysis of a paired t-test with the SPSS version 12.0 package program. There were significant decreases in systolic blood pressure (p<.01) and diastolic blood pressure (p<.05), blood glucose(p<.05), and cholesterol in the blood (p<.01). These results show that self-paced walking exercises may be helpful in treating elderly women with hypertension, hyperglycemia, and hypercholesterolemia.

본 연구는 여성노인에 의한 범죄는 여성노인의 빈곤한 상황과 관련이 있을 것으로 예측하였다. 이러한 가정을 가지고 본 연구는 여성노인들의 사회경제적 상황이 법태도의 형성에 어떠한 영향을 미치는지를 살펴보고자 하였다. 빈곤에 의해 형성된 부정적인 법태도는 범죄행위를 유발할 수 있는 위험요인이될 수 있기 때문이다. 조사는 60세 이상 여성노인을 대상으로 하였는데, 계층을 고려한 층화표출(stratified sampling) 방법으로 수집된 자료 중 433부를 분석대상으로 하였다. 여성노인들의 사회경제적 요인들은 “학력”, “직업”, “용돈조달방법”, “용돈의 양”, “가구형태”, “배우자의 사망여부”이다. 한편 법태도는 “법차별성에 대한 인식”과 “법준수태도”로 구성되어 있다. 조사결과, 사회경제적 상황이 안정적인 여성노인들일수록 법적용의 차별성에 대한 태도와 법준수태도 모두 긍정적인 태도를 보이는 것으로 나타났다. 경제적으로 비교적 안정적인 여성노인들은 경제적으로 불안정한 여성노인들에 비하여 법이 차별적이지 않다고 생각하고 있으며 법에 대한 준수태도도 강한 경향을 보였다. 반면에 빈곤한 여성노인들일수록 법태도가 부정적이어서 법이 차별적으로 적용되고 있다고 생각하고, 법을 준수해야 한다는 태도도 약한 경향이 있는 것으로 나타났다. 여성노인의 범죄행위에 대한 빈곤의 효과를 탐색한 본 연구의 결과가 시사하는 바는 다음과 같다. 첫째, 범죄통제정책은 사람들의 법태도에 영향을 주는 요인이 무엇인지에 대한 이해가 바탕이 되어야 한다는 점이다. 구체적으로 여성노인에 대한 범죄통제에 있어 사회경제적으로 소외되어 있는 여성노인 계층의 규범의 형성에 특별히 관심을 가져야 할 것으로 사료된다. 둘째, 여성노인범죄를 예방하는 정책은 보호적 관점에 입각하여 접근해야 한다는 점이다. 남녀가 불평등한 사회에서 경제적인 소외로 인한 여성노인들의 빈곤은 범죄의 원인으로 작용할 수 있다. 따라서 자립능력이 없는 여성노인들의 경제적안정을 보장할 수 있도록 사회적지원을 강화하는 것을 통하여 여성노인의 빈곤문제를 해결하는 것이 여성노인에 의한 범죄예방에 중요할 것으로 보인다.

Objective : To evaluate the cognitive perceptual performance in relation to the instrumental activities of daily living in Korean elderly women living in Seoul, Pundang, and Kwang-ju county.Method : To evaluate the cognitive perceptual performance, LOTCA-G battery was employed while IADL by Lawton and Brody was used to evaluate the instrumental activities of daily living. T-test, ANOVA, correlation analysis, and multiple regression analysis were used to ana-lyze the accumulated data.Results : The total cognitive perceptual performance score (LOTCA-G) and the total instrumental activities of daily living score (IADL) generally demonstrated a high correlation : (1) From observing the correlation of each items, the ability to use the telephone demonstrated a positive correlation with orientation, concentration, visuomotor organization, perception, memory, thinking operation and praxis (2) While shopping demonstrated a positive correlation with think-ing operation, visuomotor organization, orientation and memory (3) Food preparation demon-strated a positive correlation with orientation, thinking operation, visuomotor organization, con-centration, memory and praxis (4) While house keeping had a positive correlation with ori-entation, memory, visuomotor organization, thinking operation, concentration and perception (5) Laundry demonstrated a positive correlation with all of the items except visuomotor organization (6) While the mode of transportation demonstrated a positive correlation with all of the items including orientation and memory (7) Responsibility for one’s own medication demonstrated a positive correlation with orientation and thinking operation (8) The ability to handle finances demonstrated a positive correlation with orientation and all of the items.Conclusion : Cognitive perceptual performance was found to be significantly correlated with the instrumental activities of daily living skills. In particular, orientation and thinking operation, which are the items of cognitive perceptual performance affected the instrumental activities of daily living the most. Thus, orientation, perception, visuomotor organization, thinking operation, memory, praxis, concentration and cognitive perceptual performance need to improve not only so elderly women may live independently in the community but so as to offer them a high stand-ard of livin.

The purpose of the study was to reveal positive psychological and therapeutic horticultural factors that improve the quality of life for elderly women. After IRB certification, we recruited 40 elderly (over age 65) women from Ilsan Presbyterian Church who volunteered to join this study during July and August 2016. They were divided into 2 groups of 20 (control and experimental). The experimental group was subjected to eight weeks’ positive horticultural therapeutic programs with such content as the ‘making of dry-flower name tags, earthenware flowerpots, flavor pockets, flower arrangements in cups, dry-flower fans, flower baskets, grass dolls, and praise bouquets.’ No treatment was given for the control group. Afterwards, evaluation was conducted via a questionnaire for such characteristics as self-respect, satisfaction, personality and talent. The data were collected and analysed by use of ‘SPSS version 21.0 program’. Much higher scores were revealed in the experimental group after 8 weeks’ horticultural therapy in comparison with the control group. Most of the high scores were in areas related to “Self-Respect Among the Elderly Women,” such as ‘self-confidence, cooperative mind, optimistic mind, satisfaction, self-respect, presence, positive outlook, accomplishment, and sense of excellence’(p＜0.01). Also for the experimental group, there were high level scores in the items of the “Satisfaction with Elderly Women’s Lives,” such as with ‘sense of regret, sense of failure, boredom/tedium, sense of fatigue, suffering, anger and annoyance, sense of dissatisfaction, melancholy, and despair,’ after 8 weeks’ on the horticultural therapeutics program(p＜0.01). The experimental group also showed high levels scores in most items of the “Personality and Talent in Elderly Women” such as in ‘the pursuit of meaning, personal relationships, reliability, sincerity/acceptance, compassion, sympathy, being earnest, responsibility, self-awareness, altruism, respect & praise for others, and grace’(p＜0.01). Subjects’ responses for the experimental group after PHTP were as follows: ‘happiness, hope, and gratitude‘ at 20.0%,’brighter outlook‘ at 15.0%,’love and learning’ at 10.0%, and ’grace‘ at 5.0%. Results of the positive horticultural therapeutics showed its effectiveness in improving the quality of life for elderly women. Therefore, we recommend performing and gradually expanding the program for other groups of elderly women.

Obturator hernia is a rare case of pelvic hernia. It is important cause of small bowel obstruction in older wemen. It frequently occurs who has multiparous, skinny body, and old age. Patients presented with nausea, vomiting, and abdominal pain. Most common symptom is a strangulation combined with mechanical intestinal obstruction. It has a high mortality that associated with difficult diagnosis and delayed operation.

The objective of this study was to investigate the perception of walking environment and use of neighborhood facilities of rural female elderly, who are the most susceptible to ambulatory problems. The study showed that parks, senior centers and hospitals were among the most frequently used neighborhood facilities by rural female elderly, while bus stations and senior centers were recognized as the closest facilities. Frequency of use was higher for paid sports facilities rather than parks. Hospitals and health centers were facilities that were desired to be in close proximity. Social support, self-efficacy, and attitude were the factors that affected walking environment. Street trees, accessibility to parks, and street lights were factors that showed a positive relationship with total time of walking activity while perceived crime rate and slopes were perceived as environmental challenges for groups that walked under 150 minutes per week. One factor that negatively affected walking was the lack of sidewalks on streets. Providing parks and walking trails within neighborhood, pleasant walking environments, and safe sidewalks would contribute to improved perception of neighborhood and walking of older rural women.