Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Scale Development on Health Conservation of the Institutionalized Elderly

시설 노인의 건강보존에 관한 도구 개발

  • Sung, Ki-Wol (College of Medicine, Department of Nursing, Catholic University of Daegu)
  • 성기월 (대구가톨릭대학교 의과대학 간호학과)
  • Published : 2005.01.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to develop a health conservation scale with high validity and reliability for institutionalized elderly. Method: The process of development of this scale was as follows. A conceptual framework composed of 4 phases of health conservation of institutionalized elderly was identified based on the literature review with elderlies and discussions with experts in health conservation. A total of 75 items, on a 4-point scale were developed. Through reliability testing and factor analysis, 57 preliminary items were selected. By means of internal consistency of the 57 items, 18 items whose inner-items correlation coefficient was below .40 were deleted. Through factor analysis, 2 items whose factor loading was below .40 were deleted. Finally 37 items remained. To verity the 37 items, factor analysis, reliability testing, and correlation was done. Data were collected from 207 institutionalized elderly subjects in Daegu, Kyungpook, Busan, and KyungNam Province from August. 2003 to February. 2004. Result: In the result of factor analysis of the 37 items, 4 factors were extracted. These factors were labeled as ‘personal integrity’, ‘conservation of energy', ‘structural integrity’, and ‘social integrity'. These factors included 4 phases of health conservation. Cronbach's Alpha of 37 the items was .9424 and the correlation coefficient of HPLP was .723. Conclusion: The researchers recommend the following: An explorative study on the variables related to health conservation is needed for criterion validity of this scale. Studies on health conservation of different age groups, and subjects are needed for verification.

Keywords

References

  1. Byun, Y. S., & Jang, H. J. (1992). A study on analysis of conception of health promotion. J Korean Acad Nurs, 22(3), 362-372
  2. Cho, C. Y, Lee, S. H., Hong, S. H., Kim, D. H., Park, J. S., Ahn, Y. W., Won, J. W., Jung, S. P., Cho, H. S., Choi, G. D., Kim, M. J., & Kim, H. J. (2001). The multi-center study of the comprehensive geriatric assessment in the korean elderly. J Korean Acad Fam Med. 22(9), 1383- 1393
  3. Choi, S. O., Kim, S. N., Shin, K. L., Lee, J. J., & Jung, Y. J. (2003) Development of elderly meaning In life scale(EMIL). J Korean Acad Nurs, 33(3), 414-424
  4. Choi, Y. H., Kim, M. S., Byun, Y. S., & Won, J. S. (1990). A study on health condition for elderly in korea, J Korean Acad Nurs, 20(3), 307-323
  5. Choi, Y, H., Kim, S, H, (1997). Development of health behavior assessment tool of the korean elders. J Korean Acad Nurs, 27(3), 601-613
  6. Chung, S, E. (1999). Powerlessness of elderly and the degree of elder's powerlessness. J Korean Acad Nurs. 29(6), 1294-1303
  7. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Minimental State: a practical method for grading the cognitive state of patients for the clinician, J Psychiatric Res. 12, 189-198 https://doi.org/10.1016/0022-3956(75)90026-6
  8. Kang, S. M. (2000). Tool development on nursing assessment for demented elderly : for long-term care facilities. The postgraduate research institute, Yonsei University of Korea, in Seoul
  9. KASCWI (2004). Korea Association of Senior Citizen Welfare Institutions; http://www.elder.or.kr
  10. Katz, S., Down, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. Gerontologist, 10(1), 20-30 https://doi.org/10.1093/geront/10.1_Part_1.20
  11. Kho, Y. G. (1999). The actual condition and a policy task of poverty elderly. A series on a welfare policy of elderly, 99-01, 7-62
  12. Ki, B. S. (1996). A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version. J Korean Neuropsychiatric Acad, 35(2)
  13. Kim, A. K. (1998). The development study of a health behavior instrument of adult. J Korean Acad Nurs, 28(3), 540-548
  14. Kim, C. H., Park, Y. K., Shin, H. C., Won, J. W., Cho, B. L., Song, S. W., Yun, Y. H., & Chung, S. P. (2002). The development of a korea health status measure for the elderly. J Korean Acad Fam Med
  15. Kim, G. E. (2003). Tool development on assessment of behavioral problems of institutionalized demented elderly. The postgraduate research institute, Seoul University of Korea, in Seoul
  16. Kim, J. S. (1989). A study of social activities and ego integrity of the aged. Unpublished doctoral dissertation, Ewha Womans University of Korea, in Seoul
  17. Kim, J. S. (1996). The actual condition, a problem and a improvement plan on the home nursing service of the elderly. The Korea Gerontological Soc, 16(1), 163-178
  18. Kim, Y. T., Yun, C. Y., & Jang, C. H. (2003). A study on the underlying factor structure and an assessment instruments of subjective quality of life for the elderly. Journal of Welfare for the Aged
  19. KNSO (2003). Korea National Statistical Office; http://www.nso.go.kr
  20. Lawton, M. P. (1972). The functional assessment of elderly people. J Am Geriatr Soc, 19(6), 465-481
  21. Lee, G. E. (2000). Life of the institutionalized elderly. Unpublished doctoral dissertation, Kyungpook National University of Korea, in Daegu
  22. Levine, M. E. (1971). 'Adaptation and assessment': A rationale for nursing intervention. Am J Nurs, 66(11), 253-264
  23. Levine, M. E. (1989). The conservation principles: Twenty years later. In J Riehl-Sisca(Ed.), Conceptual models for nursing(3rd ed.) Norwalk. CT; Appleton & Lange. 325-337
  24. Oh, G. O. (2002). A case study on the needs to hospice care in the institution for the aged. Unpublished master thesis, Hansung University of Korea, in Seoul
  25. Park, E. S., Kim, S. J, Kim, S. I., Chun, Y. J., Lee, P. S., Kim, H. J., & Han, K. S. (1998). A study of the factors influencing health promoting behavior and quality of life in the elderly, J Korean Acad Nurs. 28(3), 638-649
  26. Shin, Y. H. (1996). A study on varification of the Profile of Mood States(POMS) for Korean elders, J Korean Acad Nurs, 26(4), 743-758
  27. Song, Y. S., Lee, M. R., & Ahn, E. K. (1997). A study on life style of health promotion for the elderly. J Korean Acad Nurs, 27(3), 541-549
  28. Sun, U. D. (2003). The Study of development for public health service system of elders. Korea Institute for Health and Social Affairs
  29. Sung, K. W. (1995). Analysis of conception of conservation. The Central Med, 60(6), 493-498
  30. Sung, M. H., & Lim, Y. M. (2003). The study on health promoting life style of the elderly women, J Korean Acad Nurs, 33(6), 762-771
  31. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychometric characteristics, Nurs Res, 36(2), 76-81 https://doi.org/10.1097/00006199-198603000-00004
  32. Zung, W. W. K. (1965). 'A self-rating depression scale'. Archive of General Psychiatry. American Medical Association, 12, 63-70