대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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지역사회 재가 여성노인의 칩거와 영향 요인

Homebound status and Related Factors According to Age in Female Elders in the Community

  • 투고 : 2011.07.19
  • 심사 : 2012.04.26
  • 발행 : 2012.04.30
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초록

Purpose: The purpose of this study was to investigate homebound status and significant related factors for community-dwelling female elders according to age. Methods: The participants were female elders over 65 years of age registered in public health centers. Data were collected by interviewing the elders, who voluntarily completed the entire survey. For data analysis, descriptive statistics and multiple logistic regression were performed using SPSS version 18.0. Results: There were statistically significant differences in homeboundness and related factors between the young-old (65 to 74 years of age) and the old-old (75 years of age or older). The level of homeboundness of the old-old was higher than that of the young-old. Multiple logistic regression showed, timed "up and go", depression, and fear of falling as significantly associated with homebound status of the young-old, while hand grip strength (right), timed "up and go", static balance ability, severity of urinary incontinence, and fear of falling as significant for the old-old. Conclusion: The findings of this study indicate that homebound status and related factors for elders are different according to age, and therefore, interventions to prevent and help homebound elders get over being homebound should be developed according to age.

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참고문헌

  1. Berlau, D. J., Corrada, M. M., & Kawas, C. (2009). The prevalence of disability in the oldest-old is high and continues to increase with age: Findings from the 90+Study. International Journal of Geriatric Psychiatry, 24, 1217-1225. http://dx.doi.org/10.1002/gps.2248
  2. Charlson, M. E., Peterson, J. C., Syat, B. L., Briggs, W. M., Kline, R., Dodd, M., et al. (2008). Outcomes of community-based social service interventions in homebound elders. International Journal of Geriatric Psychiatry, 23, 427-432. http://dx.doi.org/10.1002/gps.1898
  3. Choi, Y. H. (2007). A study on depression, sleep and fatigue in younger and older elders. Journal of Korean Academy of Community Health Nursing, 18, 223-231.
  4. Cohen-Mansfield, J., Shmotkin, D., & Hazan, H. (2010). The effect of homebound status on older persons. Journal of the American Geriatrics Society, 58, 2358-2362. http://dx.doi.org/10.1111/j.1532-5415. 2010.03172.x
  5. Fujita, K., Fujiwara, Y., Kumagai, S., Watanabe, S., Yoshida, Y., Motohashi, Y., et al. (2004). The frequency of going outdoors, and physical, psychological and social functioning among community dwelling older adults. Japanese Journal of Public Health, 51, 168-180.
  6. Haley, S. M., Jette, A. M., Coster, W. J., Kooyoomjian, J. T., Levenson, S., Heeren, T., et al. (2002). Late life function and disability instrument: II. Development and evaluation of the function component. The Journals of Gerontology. Series A, Biological Sciences and Medical Sicences, 57, M217-M222. http://dx.doi.org/10.1093/gerona/57.4.M217
  7. Hendrickson, L. S. (1981). The frequency of stress incontinence in women before and after the implementation of an exercise program. Issues in Health Care of Women, 3(2), 81-92. https://doi.org/10.1080/07399338109515579
  8. Imuta, H., Yasumura, S., Ahiko, T., & Fukao, A. (2002). Predictors of functional status among independent and homebound community dwelling elderly: Physical, psychological, and social parameters. Japanese Journal of Public Health, 49, 483-496.
  9. Inoue, K., & Matsumoto, M. (2001). Homebound status in a communitydwelling elderly population in Japan. Asian Pacific Journal of Public Health, 13, 109-115. http://dx.doi.org/10.1177/101053950101300209
  10. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neu ropsychiatric Association, 35, 298-307.
  11. Kono, A., & Kanagawa, K. (1999). A qualitative study on the structure of "TOJIKOMORI" phenomenon among home disabled elderly-a daily life of house-bound elderly. Journal of Japanese Academy of Nursing Science, 19, 23-30. https://doi.org/10.5630/jans1981.19.1_23
  12. Kono, A., & Kanagawa, K. (2001). Characteristics of housebound elderly by mobility level in Japan. Nursing and Health Science, 3, 105-111. https://doi.org/10.1046/j.1442-2018.2001.00085.x
  13. Kono, A., Kai, I., Sakato, C., & Rubenstein, L. Z. (2004). Frequency of going outdoors: A predictor of functional and psychosocial change among ambulatory frail elders living at home. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 59, 275-280. https://doi.org/10.1093/gerona/59.3.M275
  14. Lee, K. J., & Kim, H. S. (2006). A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Korean Journal of Women Health Nursing, 12, 221-230.
  15. Lee, M. S. (2000). Sense of mastery and depression in community dwelling elders. Unpublished master's thesis, Wonkwang University, Iksan.
  16. Lee, Y. S. (1993). The effect of pelvic floor muscle exercise on female urinary incontinence. Unpublished Doctoral Dissertation, Yonsei University, Seoul.
  17. Li, F., Fisher, K. J., Harmer, P., McAuley, E., & Wilson, N. L. (2003). Fear of falling in elderly persons: Association with falls, functional ability, and quality of life. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 58, 283-290. http://dx.doi.org/10.1093/ geronb/58.5.P283
  18. Matos, L. C., Tavares, M. M., & Amaral, T. F. (2007). Handgrip strength as a hospital admission nutritional risk screening method. European Journal of Clinical Nutrition, 61, 1128-1135. http://dx.doi.org/10.1038/ sj.ejcn.1602627
  19. Ministry of Health and Welfare Affairs. (2009). Manual for a customized home visiting health service. Seoul: Author.
  20. Payette, H., Boutier, V., Coulombe, C., & Gray-Donald, K. (2002). Benefits of nutritional supplementation in free-living, frail, undernourished elderly people: A prospective randomized community trial. Journal of the American Dietetic Association, 102, 1088-1095. http://dx.doi. org/10.1016/S0002-8223(02)90245-2
  21. Peduzzi, P., Concato, J., Kemper, E., Holford, T. R., Feinstein, A. R. (1996) A simulation study of the number of events per variable in logistic regression analysis. Journal of Clinical Epidemiology, 49, 1373-1379. http://dx.doi.org/10.1016/S0895-4356(96)00236-3
  22. Podsiadlo, D., & Richardson, S. (1991). The timed "Up & Go": A test of basic functional mobility for frail elderly persons. Journal of the American Geriatric Society, 39, 142-48. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  23. Shinaki, S. (2008). Homeboundness in the elderly. Japanese Journal of Geriatrics, 45, 117-125.
  24. Shinaki, S., Fujita, K., Fujiwara, Y., Kumagai, S., Amano, H., Yoshida, H., et al. (2005a). Prevalence and characteristics of different types of homeboundness among community-living older adults. Japanese Journal of Public Health, 52, 443-455.
  25. Shinaki, S., Fujita, K., Fujiwara, Y., Kumagai, S., Amano, H., Yoshida, Y., et al. (2005b). Prognosis of different types of homeboundness among community- living older adults: Two-year prospective study. Japanese Journal of Public Health, 52, 627-638.
  26. Steffen, T. M., Hacker, T. A., & Mollinger, L. (2002). Age- and gender-related test performance in community-dwelling elderly people: Six-minute walk test, berg balance scale, timed up & go test, and gait speeds. Physical Therapy, 82, 128-137. http://ptjournal.apta.org/content/82/2/128 https://doi.org/10.1093/ptj/82.2.128
  27. Vellas, B. J., Wayne, S. J., Romero, L., Baumgartner, R. N., Rubenstein, L. Z., & Garry, P. J. (1997). One-leg balance is an important predictor of injurious falls in older persons. Journal of the American Geriatrics Society, 45, 735-738. https://doi.org/10.1111/j.1532-5415.1997.tb01479.x
  28. World Health Organization. (2007, March). Strategy for integrating gender analysis and actions into the work of WHO. Geneva: Author
  29. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.
  30. Zimmerman, R. K., & Middleton, D. B. (2005). Vaccines for persons at high risk due to medical conditions, occupation, environment, or lifestyle. Journal of Family Practice, 54, S27-S36.

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