Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Relating Factors of Elder Abuse among Community-dwelling Elderly with Stroke

지역사회에 거주하는 노인 뇌졸중 환자의 학대 관련 요인

  • Kim, Oksoo (Division of Nursing, Ewha Womans University) ;
  • Jeon, Hae Ok (Department of Nursing, Cheongju University) ;
  • Kim, Bo Hye (Division of Nursing, Ewha Womans University)
  • 김옥수 (이화여자대학교 간호학부) ;
  • 전해옥 (청주대학교 간호학과) ;
  • 김보혜 (이화여자대학교 간호학부)
  • Received : 2012.06.12
  • Accepted : 2012.10.18
  • Published : 2012.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this secondary analysis study was to examine the incidence of abuse and the contributing factors for that abuse among the Korean elderly with stroke. Methods: Data were derived from the 2008 Korean National Survey on Older Adults. The participants were 934 community-dwelling elderly with stroke. Data were analyzed using the Rao-Scott $x^2$-test, simple logistic regression and multiple logistic regression with the PASW 18.0 complex samples analysis module. Results: The prevalence of elder abuse was 13.5%. Emotional abuse (10.0%) was the most frequently reported abuse, followed by financial neglect (3.8%), caring neglect (3.3%), financial abuse (2.1%), and physical abuse (1.9%). 44.6% of the perpetrators of emotional abuse were coresidential family members. Participants without spouses (odds ratio=2.05, 95% CI=1.14~3.68), those without diabetes (odds ratio=2.24, 95% CI=1.15~4.39), and depressed participants (odds ratio=2.72, 95% CI=1.34~5.52) were more likely to be abused. Conclusion: Emotional abuse was the most frequently reported type of abuse while physical abuse was least frequent among the elderly with stroke. Nurses caring for the elderly with stroke should be aware of the types of abuse and risk factors such as lack of spouse and incidents of depression.

Keywords

References

  1. Acierno, R., Hernandez, M. A., Amstadter, A. B., Resnick, H. S., Steve, K., Muzzy, W., et al. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American Journal of Public Health, 100 (2), 292-297. https://doi.org/10.2105/AJPH.2009.163089
  2. Cho, M. J., Bae, J. N., Suh, G. H., Hahm, B. J., Kim, J. K., Lee, D. W., et al. (1999). Validation of Geriatric Depression Scale, Korean version(GDS) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association, 38 (1), 48-62.
  3. Divani, A. A., Majidi, S., Barrett, A. M., Noorbaloochi, S., & Luft, A. R. (2011). Consequences of stroke in community-dwelling elderly: The Health and Retirement Study, 1998 to 2008. Stroke, 42 (7), 1821-1825. https://doi.org/10.1161/STROKEAHA.110.607630
  4. Dong, X. Q., Simon, M. A., Beck, T. T., Farran, C., McCann, J. J., Mendes de Leon, C. F., et al. (2011). Elder abuse and mortality: The role of psychological and social wellbeing. Gerontology, 57 (6), 549-558. https://doi.org/10.1159/000321881
  5. Dong, X., Simon, M. A., Rajan, K., & Evans, D. A. (2011). Association of cognitive function and risk for elder abuse in a community- dwelling population. Dementia and Geriatric Cognitive Disorders, 32 (3), 209-215. https://doi.org/10.1159/000334047
  6. Elemary, F. M. M., Essa, H. A. E., & Aly, H. H. (2011). Correlation between caregivers' burnout and elderly psychological abuse. Journal of American Science, 7 (1), 206-214.
  7. Garre-Olmo, J., Planas-Pujol, X., Lopez-Pousa, S., Juvinya, D., Vilà, A., & Vilalta-Franch, J. (2009). Prevalence and risk factors of suspected elder abuse subtypes in people aged 75 and older. Journal of the American Geriatrics Society, 57 (5), 815-822. https://doi.org/10.1111/j.1532-5415.2009.02221.x
  8. Kim, K. W., Han, S. B., Han, E. R., Woo, S. J., Lee, J. J., Yoon, J. C., et al. (2011). Association between depression and dry eye disease in an elderly population. Investigative Ophthalmology & Visual Science, 52 (11), 7954-7958. https://doi.org/10.1167/iovs.11-8050
  9. Kim, O. S., & Kim, H. J. (2011). Posttraumatic Stress Disorder (PTSD), anxiety, and depression among stroke patients. Nursing Science, 23 (1), 1-12.
  10. Kim, S. Y., & Lee, J. I. (2009). Effects of social support, abuse on the ego-integrity in the elderly. Journal of the Korean Gerontological Society, 29 (1), 231-242.
  11. Korean Ministry of Gender Equality and Family. (2010). 2010 Domestic Violence Survey of South Korea. Retrieved June 5, 2012, from https://www.prism.go.kr/
  12. Korean Ministry of Health and Welfare & Korea Elder Protection Agency. (2011). 2010 Report for Korean elderly abuse. Retrieved May 1, 2012, from http://www.noinboho.or.kr
  13. Korean Ministry of Health and Welfare & Korean Centers for Disease Control and Prevention. (2011). Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES v-1). Retrieved April 20, 2012, from http://knhanes.cdc.go.kr
  14. Lam, S. C., Lee, L. Y. K., & To, K. W. (2010). Depressive symptoms among community-dwelling, post-stroke elders in Hong Kong. International Nursing Review, 57 (2), 269-273. https://doi.org/10.1111/j.1466-7657.2009.00789.x
  15. Lee, D. Y., Lee, K. U., Lee, J. H., Kim, K. W., Jhoo, J. H., Youn, J. C., et al. (2002). A normative study of the Mini-Mental State Examination in the Korean elderly. Journal of Korean Neuropsychiatric Association, 41 (3), 508-525.
  16. Lee, J. H., Lee, K. U., Lee, D. Y., Kim, K. W., Jhoo, J. H., Kim, J. H., et al. (2002). Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): Clinical and neuropsychological assessment batteries. Journal of Gerontology: Psychological Sciences, 57 (1), 47-53.
  17. Lee, K. E., Park, Y. J., & Kim, D. H. (2009). The causal model of effected factors for elder abuse. Journal of the Korean Gerontological Society, 29 (3), 883-898.
  18. Lee, Y. K., & Kim, M. H. (2008). A study on typology and the causal factors of elderly-abuse. Journal of the Korean Gerontological Society, 28 (4), 1165-1178.
  19. Naughton, C., Drennan, J., Lyons, I., Lafferty, A., Treacy, M., Phelan, A., et al. (2012). Elder abuse and neglect in Ireland: Results from a national prevalence survey. Age and Ageing, 41 (1), 98-103. https://doi.org/10.1093/ageing/afr107
  20. Oh, J., Kim, H. S., Martins, D., & Kim, H. (2006). A study of elder abuse in Korea. International Journal of Nursing Studies, 43 (2), 203-214. https://doi.org/10.1016/j.ijnurstu.2005.03.005
  21. Post, L., Page, C., Conner, T., Prokhorov, A., Fang, Y., & Biroscak, B. J. (2010). Elder abuse in long-term care: Types, patterns, and risk factors. Research on Aging, 32 (3), 323-348. https://doi.org/10.1177/0164027509357705
  22. Rigby, H., Gubitz, G., Eskes, G., Reidy, Y., Christian, C., Grover, V., et al. (2009). Caring for stroke survivors: Baseline and 1-year determinants of caregiver burden. International Journal of Stroke, 4 (3), 152-158. https://doi.org/10.1111/j.1747-4949.2009.00287.x
  23. Schiamberg, L. B., Oehmke, J., Zhang, Z., Barboza, G. E., Griffore, R. J., Von Heydrich, L., et al. (2012). Physical abuse of older adults in nursing homes: A random sample survey of adults with an elderly family member in a nursing home. Journal of Elder Abuse & Neglect, 24 (1), 65-83. https://doi.org/10.1080/08946566.2011.608056
  24. Seo, I. K., & Ko, M. S. (2011). Effects of the elderly's abuse experiences on their suicidal ideation & mediation effects of stress, depression and social supports. Health and Social Welfare Review, 31 (1), 127-157. https://doi.org/10.15709/hswr.2011.31.1.127
  25. Sheikh, J. I., & Yesavage, J. A. (1985). A knowledge assessment test for geriatric psychiatry. Hospital & Community Psychiatry, 36 (11), 1160-1166.
  26. Won, C. W., Rho, Y. G., Kim, S. Y., Cho, B. R., & Lee, Y. S. (2002). The validity and reliability of Korean Activities of Daily Living (K-ADL) scale. Journal of the Korean Geriatrics Society, 6 (2), 98-106.
  27. Won, C. W., Rho, Y. G., Sunwoo, D., & Lee, Y. S. (2002). The validity and reliability of Korean Instrumental Activities of Daily Living(K-IADL) scale. Journal of the Korean Geriatrics Society, 6 (4), 273-280.
  28. Won, C. W., Yang, K. Y., Rho, Y. G., Kim, S. Y., Lee, E. J., Yoon, J. L., et al. (2002). The development of Korean Activities of Daily Living(K-ADL) and Korean Instrumental Activities of Daily Living(K-IADL) scale. Journal of the Korean Geriatrics Society, 6 (2), 107-120.
  29. World Health Organization. (2008). A global response to elder abuse and neglect: Building primary health care capacity to deal with the problem worldwide: Main report . Retrieved April 15, 2012, from http://www.who.int/ageing/publications/ELDER_DocAugust08.pdf
  30. Wu, L., Chen, H., Hu, Y., Xiang, H., Yu, X., Zhang, T., et al. (2012). Prevalence and associated factors of elder mistreatment in a rural community in People's Republic of China: A cross-sectional study. PloS One, 7 (3), e33857. Retrieved May 22, 2012, from http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0033857 https://doi.org/10.1371/journal.pone.0033857

Cited by

  1. A Systematic Review of Prevalence and Risk Factors for Elder Abuse in Asia vol.16, pp.2, 2015, https://doi.org/10.1177/1524838014555033
  2. Experience of elder abuse among older Korean immigrants vol.28, pp.2, 2016, https://doi.org/10.1080/08946566.2016.1156593
  3. The prevalence of elder abuse and neglect in Iran: a systematic review and meta-analysis pp.1540-4129, 2018, https://doi.org/10.1080/08946566.2018.1523765
  4. Relationship between Emotional Abuse and Depression among Community-Dwelling Older Adults in Korea vol.59, pp.5, 2018, https://doi.org/10.3349/ymj.2018.59.5.693