100세 시대 건강한 노화의 양상과 정책과제 - M시 종적연구(II)

제목
100세 시대 건강한 노화의 양상과 정책과제 - M시 종적연구(II)
Aspects of healthy aging and policy implications in the era of centenarians: Based on the longitudinal study of M city(Ⅱ)
저자

오영희선우덕; 양찬미; 이성국

키워드
건강노화; 건강수준; 허약노인
발행연도
2012
발행기관
한국보건사회연구원
초록
신체적 건강노화에 대한 개념을 정의하고, 지역사회 거주노인의 통합적 건강수준을 파악할 수 있는 조사표를 설계하여, 사례지역 노인의 건강상태를 파악하고, 노인 건강수준에 영향을 미치는 요인을 찾아내고자 하였고, 또한 그 분석 결과에 기초한 (가칭)허약의심노인 예측지표를 도출하고, 그들의 건강수준을 제고시키는데 효과적인 서비스 제공 방안을 제시

Researchers have suggested various predictors of healthy aging such as staying away from the risk of diseases, maintaining high levels of physical and cognitive function, and participating in one's life actively.
?In order to attain healthy aging, it is more effective to maintain or enhance the health levels of healthy or frail elders than those who already experience malfunctions in the activities of daily living.
?This study used the methods of literature review and case analyses. Based on the existing literature, we examined the construct of healthy aging. A survey with structured questionnaire was also conducted for the older residents of a small-and-medium city in the rural region on the state of their health care.
?We designed a comprehensive questionnaire to examine the health conditions of the elders in the community and analyzed the case results. These results were used to categorize the physical health levels of elders. This study aimed to develop indicators of the pre-frail elders via group comparison analysis and to develop effective service programs for healthy aging.
?We developed variables that had statistically significant differences with relevant variables into the indicators of the pre-frail elders based on the case analysis results of the 2012 survey.
?Nineteen variables were selected as the indicators of the pre-frail elders. Physical health functions included 9 variables: the number of chronic diseases, depressive symptoms, grasping power, standing with one leg, EQ-5D, vision, hearing, chewing capability, and fear of falling. Health practices included 6 variables: exercises or not, 2-km walking, sleeping hours, sound sleep, and nutritive conditions (MNA). Social relationships included 4 variables: having intimate friends and neighbors or not, going out in a week or not, telephone contact with relatives/friends/neighbors, and participation to organizations.
?Further, we categorized the health levels of restricted physical functions by reanalyzing the 2011 National Survey of Korean Elders. Healthy elders were 40.4%, pre-frail elders 33.3%, frail elders 12.3%, and disabled elders 14%.
?We suggested policy implications that communities need to utilize the indicators of the pre-frail elders, develop health care and health promotion programs that primarily target pre-frail elders, facilitate social relationships centering around local communities, and develop healthy aging strategies according to elders' health levels.
목차
Abstract
요약
제1장 서론
제1절 연구의 배경 및 목적
제2절 연구의 내용 및 방법
제2장 이론적 배경
제1절 건강노화의 개념 및 정책
제2절 각국의 고령자 보건복지서비스
제3절 노인영양 정책
제3장 노인건강실태조사의 결과분석: 특정 농촌지역 사례
제1절 특정 농촌지역 노인의 건강실태(2012년도)
제2절 특정 농촌지역 노인의 건강수준별 건강상태
제3절 (가칭)허약의심노인 예측 지표의 개발
제4절 특정 농촌지역 노인의 기능상태 변화
제4장 신체적 건강수준별 노인집단의 현황 분석
제1절 신체적 건강수준별 노인집단 구분
제2절 노인의 일반특성별 건강수준
제3절 건강수준별 건강상태
제4절 건강수준별 사회참여활동
제5장 결론 및 정책적 제언
제1절 기본방향
제2절 정책과제
참고문헌
부록
부록1 우리나라 영양 관련 정책 및 영양 평가
부록2 조사표
URI
http://repository.kihasa.re.kr:8080/handle/201002/9786
ISBN
978-89-8187-991-4
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