중장년 발달장애인 노화 관련 국외 문헌 분석

이정은,김유리,이종민 한국발달장애학회 2022 발달장애연구 Vol.26 No.4

As we enter the aging era, the interest toward aging of adults with disabilities is increasing, however, research on aging of older adults with developmental disabilities is relatively poor. The purpose of this study is to provide practical and policy implications to the field by examining foreign studies that address the aging of people with developmental disabilities in line with the aging era. To this end, a total of 33 studies were analyzed which were published overseas from 2012 to 2021 on the topic of aging with developmental disabilities. Specifically, the following parts were analyzed: the publication year, location, participants, research method, and results. With respect to the results, the studies were analyzed based on the meaning and emotion toward aging, aging-related functional changes, aging-related correlates, positive and negative perception of aging, and coping strategies. Based on the results, future research directions for aging of developmental disability and practical supports in the field were discussed. 고령화 시대로 진입하며 장애인의 노화에 대한 관심도 증대되고 있으나 발달장애인에 대한 노화 연구는 상대적으로 매우 빈약한 실정이다. 본 연구의 목적은 고령화 시대에 맞춰 발달장애인의 노화를 다룬 국외 연구를 살펴봄으로써 국내 현장에 실천적 및 정책적 시사점을 제공하는 데 있다. 이를 위해 본 연구에서는 2012년부터 2021년까지 발달장애 노화를 주제로 국외에서 발표된 총 33편의 논문들을 분석하였다. 구체적으로 출판연도, 연구 참여자, 연구장소, 연구방법, 연구결과를 중심으로 분석되었으며, 연구결과의 경우 연구주제에 따라 노화에 대한 의미 및 감정, 노화로 인한 기능 변화, 노화 관련 변인, 노화에 대한 긍정적 인식, 노화 과정에서의 걱정 및 우려, 노화에 대한 대처전략으로 나누어 분석되었다. 연구 결과에 기초하여 추후 발달장애 노화 연구 방향 및 현장에서의 지원방안이 논의되었다.

노화와 피부노화에 대한 동서의학적 고찰

한정민,고우신,윤화정,Han, Jung-Min,Ko, Woo-Shin,Yoon, Hwa-Jung 대한한방안이비인후피부과학회 2014 한방안이비인후피부과학회지 Vol.27 No.1

Objective : The purpose of this study is to understand aging and skin aging with both western and Korean medicine. Methods : We investigated the comprehension of general aging and skin aging in both western and Korean medicine through literature review. Result : The results are as follows. 1. Aging in western is a complex process influenced by telomere shortening and damage to cellular DNA. In Korean medicine, it is supposed that decline of interaction between yin(陰) and yang(陽) makes aging. 2. Skin aging in western medicine consists of intrinsic aging and extrinsic aging. In Korean medicine, skin aging goes with the aging of whole body and distinctive features of geroderma notice the unbalance of the whole body function. 3. Generally geroderma has decreased development of cells and low immunity, which is the function of kidney(腎) in Korean medicine. Conclusion : Further studies are needed to apply comprehension of skin aging in Korean medicine to clinical stage.

노화불안이 성공적 노화에 대한 기대와 은퇴준비에 미치는 영향

정석식 ( Seok Sik Jeong ),박상범 ( Sang Beom Park ) 한국생산성학회 2015 生産性論集 Vol.29 No.2

In this study, we analyzed the direct and indirect effects of expectant retirees’ psychological causes of aging anxiety and expectation for successful aging to retirement preparation using structure equation model. The first analysis result that expectant retirees’ expectation for successful aging has positive significant effect indicates if one has the higher expectation for successful aging he or she prepares for retirement more thoroughly, which shows expectation leads to preparation. The second analysis result show that expectation of expectant retirees’ expectation for successful aging influences significantly to retirement preparation. The third analysis result shows that aging anxiety affects not negatively to the expectation for successful aging but positively. The first two results do not deviate from to some extent what we can expect in general. However, the third result is somewhat different from our expectation. The result can be explained this way. That is, among the respondents to the questionaire more than half (63.4%) are the age of 40’s. Aging anxiety influences to expectant retirees in terms of successful aging differently according to the age. That is, in their 40’s, people view aging anxiety more of positively than negatively. This result implies that aging anxiety should be analyzed from the different perspective regarding retirement preparation, and comparison studies between early 40’s and impending expectant retirees and retirees should be conducted. This result is important because in this country the speed of aging is the fastest over the world, the so-called baby-boomers are just started to retire without enough preparation, individuals as well as the government is not prepared for the situation of aged society. Therefore every possible means should be adopted and executed to reduce problems rising from the situation. But the means should be elaborate to be effective and efficient as this study results show.

노화와 피부노화에 대한 고찰

남혜정,김윤범,Nam Hae-jeong,Kim Yoon-bum 대한한의진단학회 2004 大韓韓醫診斷學會誌 Vol.17 No.1

In Oriental medicine, aging is just a natural process like change of seasons. Ancient Oriental people accepted it as a natural thing to be growing older and to die at last. The science of aging has advanced dramatically. In the last 2 decades, advances in genetics and molecular biology have led to extraordinary new understandings in how cells age, how apoptosis programs cells to die, and how neuroendocrinology plays a role in the lifespan of organisms. Today, the matter of primary concern about aging is a cellular and mitochondrial damage of human body induced by reactive oxygen species(ROS). The skin aging can be divided into two areas, intrinsic(chronologic)-aging and photo-aging. There are lots of photo damage about skin aging. The skin is increasingly exposed to ultraviolet(UV) irradiation in life. Therefore, the risk of photo-oxidative damage of the skin induced by reactive oxygen species(ROS) has increased substantially. Nowadays, many people believe that they can stop or at least delay the process of aging. There are lots of treatments that promise to slow the process of aging and the associated ailments. Many of these treatments, for example, exercise, Vit E, Vit C therapy, hormone therapy, restrict diet, are gradually being subjected to clinical trials. But in spite of all efforts, researches and investigations, there is no single method or treatment which is revealed to be truly effective for delaying progress of aging. Every methods insisted on effect for delaying aging process, has its dark side. All we can do is just keeping ourself healthy until the time of death.

The effect of aging on the quality of Semimembranosus muscle from Hanwoo

Kim, Sun Hyo,Kim, Hyun Joo,Lee, Hyun Jung,Yong, Hae In,Jo, Cheorun,Nam, Ki Chang,Jung, Samooel 충남대학교 농업과학연구소 2016 Korean Journal of Agricultural Science Vol.41 No.2

The effect of postmortem aging on the quality of Semimembranosus muscle (SM) from Hanwoo was investigated. The quality of SM was compared with that of Longissimus dorsi muscle (LD). SM contained higher moisture, protein, and ash, and lower fat than LD (p<0.05). The $a^*$ and $b^*$ values of SM were significantly decreased after 21 days of aging. SM showed higher $a^*$ values than LD at 1 and 7 day of aging (p<0.05). The cooking loss of SM was not affect by aging. SM had higher cooking loss than that of LD throughout the aging period. Although the shear force of SM was significantly decreased by aging, SM showed high shear force compared to LD during aging period (p<0.05). Aging increased lipid oxidation in both muscles (p<0.05). However, TBARS value of SM was significantly lower than that of LD throughout the aging period (p<0.05). There was no effect of aging on the betaine and L-carnitine contents of SM. SM contained higher betaine and L-carnitine than LD in all aging days (p<0.05). Therefore, we concluded that consumer acceptability of SM could be increased by aging based on the increase of tenderness in addition to its high nutritional properties.

노화와 관련된 정신사회적 이론 분석

이평숙 고려대학교 의과대학 1993 고려대 의대 잡지 Vol.30 No.2

The purpose of this study is to explain and understand the phenomenon for successful aging through reviewing and analyzing several theories on aging, and then attempt to find usefulness on implication in nursing situation. 1. The aging phenomenon has been studied by many researchers, but due to lack of consensus and empirical support, its conclusions are still not clear. 2. From the psychobiological view, the aging phenomenon seems to be an inevitable, irreversible decline which appears as time passes, and the aging depends on physical age. Basic problems of the aging process consist of the loss of nerve cell, the degeneration of revival ability, and the gradual decline of physical ability and stress adaptability. In such a point, these elements can be a basis of understanding the disease process and the aging process. But, the gradual declining process focuses only on these negative aspects and there is not explains on individual variation in aging. 3. Judging from the psychosocial view, the aging phenomenon more emphasis on the emotional response than the aging process. Ego-integrity, that usefulness is recognized as a theoretical basis for psychosocial aspect, shows the final stage of life, in which reflects on one's life accomplishment and failures. According to Butler, it is normal that old men reminisce about past life events. Therefore, reminiscing about their past experiences, recognizing and reintegrating their unresolved conflicts can be a positive approach to aging. In such a point, the process of reminiscing and life reviewing of one's life can be suggested the possibility of psychotherapeutic nursing intervention as well as explain the result of aging. Social disengagement theory takes the position that it is nomal for old men to withdrawal from society and such a situation brings them a positive benefits. But scholars criticize this theory in many aspects. As a reaction to the negativistic perspective of disengagement developed activity theory which takes the position that old men who participate positively in social activities are healthier and happier. Though this theory is disputed by some critics, according to an empirical study, the support for this theory is more predominant than for the other. Rut the evaluation of successful aging cannot be disputed by the social disengagement theory or the social activities theory. From such a point, I think that more research on this issue should be conducted in the future.

고령사회와 액티브에이징 고찰 연구

한동희 한국노인복지학회 2014 노인복지연구 Vol.0 No.64

Purpose: Aging is too fast in Korea. Population ageing is unique challenges to every society. The attention of aging should be aimed on the very issues that arises from this process. Method: This study overview Active Aging policy framework for Korean society. According to Active Aging frame from World Health Organization(2002), Active Aging Consortium in Asia Pacific(2005-2013) and EU Active Aging, this study was analyzed background, concepts and component theories and best practices active aging in actions. Result: It was lead productive and positive aging, the process optimizing opportunities for health, participation and security in order to enhance quality of life as people age with aged friendly community. We all should make active aging environment for our aged society and develop community bases concept of active aging. 인구의 고령화는 사회인구구조의 변화와 부양책임 그리고 생산연령인구의 감소라는 사회구조적 문제를 야기시키고 있다. 따라서 긍정적이고 생산적 노년의 구체적 대응전략이 요구되고 있다. 액티브에이징 정책은 무엇보다도 길어진 노년을 생산적이며 긍정적으로 보낼 수 있는 가이드라인을 제시한다. 따라서 본 연구는 세계보건기구(WHO), 아시아태평양 액티브에이징 컨소시엄(ACAP), 유럽연합(EU)에서 전개된 다양한 액티브에이징 아젠다의 지료를 분석하여 액티브에이징의 개념과 구성요소를 제안하고 고령사회에 액티브에이징 정책이 필요한 이유와 이를 통한 긍정적 노년을 만들 수 있는 방안과 정책을 제언을 하고자 한다.

노화사실인지정도와 노화불안에 대한 연구

김화선,양정남,최은정 한국정신건강사회복지학회 2009 정신보건과 사회사업 Vol. No.

The purpose of this study is to examine the degree of aging anxiety, knowledge about aging and the influencing factors on aging anxiety. For this study, the data was collected using a structured questionnaire which included Aging Anxiety Scale: AAS from Lasher & Faulkender (1993) and Kyung san scale, knowledge of aging. The data was collected from 335 University students and adults from Gwangju and Junnam area. The data was analysis using SPSS 12.0. The results of this study was analyzed as follows; First, the average score of the participants for knowledge on aging was 58.9% The participants were an adult group whose score was lower than the social workers(65.3%) and nurses group(65.5%). Second, the average score of the participants for aging anxiety was 2.80 out of 5.00. The sub score shows that fear of elderly among participants was 2.77, fear of loss was 3.11, fear of psychological instability was 2.2, fear of physical appearance was 2.98. Third, the result showed that differences between aging anxiety and general characteristics was that sex, age, level of education, education on aging, volunteering experience of working with elderly. Fourth, the study revealed that there was a negative correlation between aging anxiety and knowledge on aging. This fact implied that the greater ones knowledge on aging the lower the aging anxiety. Fifth, this study showed that knowledge on aging and volunteering experience working with elderly was a most influential factor towards participant's anxiety about aging. In conclusion, an integrated education programmes which included lectures and volunteer activities should be developed to reduce anxiety about aging and improve quality of elderly care. 본 연구의 목적은 대상자의 노화불안 수준과 노화사실인지정도를 파악하여, 노화불안에 영향을 미치는 요인을 규명하기 위함이다. 연구 대상자는 광주 ․ 전남지역에 거주하는 대학생과 일반성인 335명으로, 수집된 질문지 중 312부를 최종분석에 사용하였다. 본 연구에서 사용한 도구는 Lasher & Faulkender(1993)의 노화불안 척도(Aging Anxiety Scale: AAS)의 20문항 중 19문항과 윤진 ․ 조석미(1982)의 경산노화사실인지척도 24문항을 수정하여 사용하였다. 연구결과를 정리하면, 첫째, 대상자의 노화사실 인지정도의 정답률은 58.9%로 선행연구에서 나타난 사회복지사(65.3%), 간호사(65.0%)보다 낮게 나타났다. 둘째, 대상자의 노화불안은 5점 만점 척도에서 2.80점으로 나타났고, 하위영역별로는 노인에 대한 두려움이 2.77점, 상실에 대한 두려움이 3.11점, 심리적 불안정이 2.20점, 신체적 외모에 대한 두려움이 2.98점으로 나타났다. 셋째, 대상자의 일반적 특성에 따른 노화불안의 차이는 성별, 연령, 학력, 노인복지 관련 과목 이수경험, 향후 노인관련 업무 희망 여부, 노인대상 자원봉사 경험 유무에 따라 총노화불안이나 하위영역별로 유의미한 차이가 나타났다. 넷째, 노화사실인지정도와 노화불안 사이에 부적상관관계가 나타났고, 이를 통해서 노화사실인지정도가 높을수록 노화불안이 낮아짐을 알 수 있다. 다섯째, 노화불안에 영향을 미치는 요인을 분석한 결과, 노화사실인지정도와 자원봉사경험이 가장 큰 영향 요인으로 나타났다. 이러한 결과를 바탕으로 노화불안을 감소시키기 위한 노화사실인지 교육의 필요성과 자원봉사 프로그램 개발을 위한 논의를 시도하였다.

나이듦과 지혜: 성공적 노화의 통합적 개념화

이수림,조성호 한국문화및사회문제심리학회 2007 한국심리학회지: 문화 및 사회문제 Vol.13 No.3

본 연구에서는 고령화 사회의 주요문제로 부각되고 있는 노인문제와 나이듦에 대한 이해의 틀을 마련하고자 성공적 노화의 통합적 개념화를 시도하였다. 이를 위해, 나이듦의 의미를 규명하고, 나이듦과 관련된 부정적 변화와 나이듦에 따른 성장과 발달 등 긍정적 변화를 구분하여 개관하였다. 특히, 긍정적 변화와 관련하여 지혜가 성공적 노화의 중요한 요인이 될 수 있음을 확인하였다. 기존의 성공적 노화 이론과 주요 연구 결과들을 제시하였고, 기존의 이론이 가지고 있는 한계에 대한 논의를 바탕으로 지혜를 포함하는 성공적 노화의 통합적 개념화를 제시하였다. 성공적 노화의 통합적 개념화의 주요내용 및 특징을 설명하고 성공적 노화의 통합적 개념화가 갖는 시사점에 대해 논의하였다. The objective of the study was to cast a frame for the integrating concept of successful aging together with for understanding both elderly problems and aging, which was one of the major issues in aging society. For this, the author reviewed the meaning of aging and also made a general survey of both affirmative change such as growth and development and negative change with regard to aging. Particularly, it was observed that wisdom is a key factor for successful aging. The existing theory of successful aging and major study results were reviewed. As a result, the author proposed an integrated conceptualization of successful aging under the general discussion of the limits of existing theory and also explained the characteristics and implications of an integrated conceptualization of successful aging in line with the discussion on the definition of the integrated concept of successful aging.

노화의 개념, 진단 및 관리

배철영(Chul-Young Bae) 대한미병의학회 2023 대한미병의학회지 Vol.4 No.1

Anti-aging medicine is defined as ‘the newest clinical specialty, the optimum of wellness and longevity, and employs extensive therapies and treatment in the preventive health care field far beyond just cholesterol testing and mammogram, by American Academy of Anti-aging Medicine. Aging theories is dived into two main theories, genetic control theory and acquired theory. Though many aging theories have been developed, any single theory is not universally accepted. Aging is defined as a time-related decline in physiological functions and changes in morphology. Aging is usually evaluated by questionnaires (AGHDA), self-test, aging biomarkers tests, and biological age measurements. Biological age measurement is usually considered as the index to evaluate the overall health status and aging degree in clinical practice. The goal of aging management is not only to treat age-related diseases, but to improve the diverse function of body and improve quality of life. Five major methods for aging management are the elimination of risk factors, management of chronic diseases, caloric restriction with nutritional balance, medium-intensity regular exercise, and stress management. Many other methods, such as, anti-oxidant therapy, hormone replacement, smart drugs, immune boosters, detoxification, and alternative medicine have been tried for aging management.