Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of Health Behavior, Resilience, and Recognition of Well-dying on the Depression of Elderly with Chronic Disease

건강행위, 회복탄력성, 웰다잉 인식이 노인 만성질환자의 우울에 미치는 영향

  • Received : 2015.07.23
  • Accepted : 2015.10.08
  • Published : 2015.10.31
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Abstract

The purpose of this study was to investigate the effect of health behavior, resilience an recognition of well-dying on the depression of elderly with chronic disease. It was the survey period was from February 13 to March 20, 2015 with 185 people. For data analysis, SPSS 20.0 program was used. As a result, the mean level of health behavior was 2.60, the mean level of resilience was 3.14, recognition of well-dying was 3.41, the mean level of depression was 3.29. Depression was showed a negative corelation with health behavior and recognition of well-dying. Factors that affect depression was health behavior, subjective health status, recognition of well-dying, live with and sex. Also, strange cause of these was 44.8% of depression. Results suggest that, to mediate melancholy elderly, it is necessary to develop a program in consideration of various factors.

본 연구는 노인 만성질환자의 건강행위, 회복탄력성, 웰다잉 인식이 우울에 미치는 영향을 파악하여 노인 만성질환자의 우울을 중재할 수 있는 기초 자료를 제시하고자 시행하였다. 본 연구 대상자는 노인 만성질환자 185명을 대상으로 2015년 2월 13일부터 3월 20일까지 실시하였으며, 자료분석은 SPSS 20.0 program을 사용하였다. 연구결과 건강행위는 2.60점, 회복 탄력성은 3.14점, 웰다잉 인식은 3.41점, 우울은 3.29점이었다. 우울은 건강행위, 웰다잉 인식과 부적 상관이 있는 것으로 나타났으며 우울에 가장 큰 영향을 미치는 변인은 건강행위, 주관적인 건강상태, 웰다잉인식, 동거여부, 성별 순이었으며 변인들에 의한 설명력은 44.8%이었다. 따라서 노인의 우울은 단순한 요인이 아니므로 신체적, 심리적, 성별 차이 등 다양한 요인들을 고려한 맞춤형 중재 프로그램 개발이 필요하다.

Keywords

References

  1. Korea National Statistical Office. 2014. The elderly persons statistics. http://www.kostat.go.kr/wnsearch/search.jsp.
  2. Korea Institute for Health and Social Affairs. 2014. Patient sample survey. https://www.kihasa.re.kr/html/jsp/kihasa/news/press/view.jsp?ano=5763.
  3. Y. J. Kim, "The effects of an education program on the knowledge of medication and prevention of depression in the elderly with chronic disease at local community", Journal of Welfare for the Aged, Vol.22, No.4, pp.399-408. 2011.
  4. H. S. Jeong, O. S. Kim, "Anxiety, Depression and Health Behavior of Elderly with Chronic Disease", Nursing Science, Vol.25, No.2, pp.35-46. 2013.
  5. M. S. Lee, "Chronic Disease Symptoms and the Effects of Social Networks in Korean Elderly Population", Korean Association of Health and Medical Sociology, Vol.27, No.6, pp.5-30, 2010.
  6. E. G. Yun, "Mediation Effect of Coping Style on the Relationship between Depression and the Quality of Life in the Elderly", Korean Journal of Clinical Social Work, Vol.9, No.1, pp.43-61, 2012.
  7. M. S. Lee, "Chronic Disease Symptoms and the Effects of Social Networks in Korean Elderly Population", Korean Association of Health and Medical Sociology, Vol.27, No.6, pp.5-30, 2010.
  8. S. S. Moussavi., E. Chatterju., A. Verdes., et al, "Depression, Chronic Disease, and Decrements in Health : Results from the World Health Surveys", Lancet, Vol.370, pp.851-858, 2007. https://doi.org/10.1016/S0140-6736(07)61415-9
  9. M. T. Niti., E. H. Ng., R. C. Kua., et al, "Depression and Chronic medical Illness in Asian Older Adults : the Role of Subjective Health and Functional Status", International Journal of Geriatric Psychiatry, Vol.22, pp.1087-1094, 2007. https://doi.org/10.1002/gps.1789
  10. S. Y. Wong., H. S. Woo., J. Lynn, et al, "Risk of Depression in Patient with Chronic Respiratory Disease : Results from Two Large Cohort studies in Chinese Elderly from Hong Kong", International Journal of Geriatric Psychiatry, Vol.21, pp.233-238, 2006. https://doi.org/10.1002/gps.1447
  11. R. A. Scchoevers., A. T. Beekman, D. J. Deeg., et al, "The natural history of late-life depression results form the amsterdam study of elderly(AMSTEL). Journal of Affective Disorders", Vol.74, No.1, pp.5-14, 2003. DOI: http://dx.doi.org/10.1016/S0165-0327(02)00060-5
  12. J. H. Seo., H. S. Ryu, "Relations among depression, life satisfaction and health promoting behavior in the elderly", Journal of Korean Academy Community Health Nursing, Vol.21, No.2, pp.169-177. 2010. https://doi.org/10.12799/jkachn.2010.21.2.169
  13. H. J. Choi, J. H. Yoo, "The Effect of Depression and Self-efficacy on Health Promotion Behavior among the Elderly Living Alone in Rural Area", Journal of East-West Nursing Research, Vol.17, No.2, pp.149-155, 2011.
  14. D. O. Kim, S. N. Yun, "An exploratory study of factors associated with the health behavior of working elderly with chronic disease", Journal of Korean Academy of Community Health Nursing, Vol.23, No.4, pp.395-404, 2012. DOI: http://dx.doi.org/10.12799/jkachn.2012.23.4.395
  15. K. E. Park., M. H. Kwon., Y. E. Kwon, "Correlation among Depression, Death Anxiety and Quality of Life of Aged Women", Journal of Korea Public Health Nursing, Vol.27, No.3, pp.527-538, 2013. DOI: http://dx.doi.org/10.5932/JKPHN.2013.27.3.527
  16. H. L. Seo., Y. K. Jun., H. N. Kim, "The Effects of Physical Disease on Elderly Depression and Moderate effects of the Self-Care Performance", Journal of Welfare for the Aged, Vol.61, pp.57-84, 2013.
  17. S. Y. No, "The analysis of resilience as predictive variable of exercise behavior movement of the elderly", Journal of exercise rehabilitation, Vol.8, No.1, pp.37-48, 2012.
  18. H. Y. Lee, "The Mediative Effect of Resilience in Relationship between the Leisure Activities Participation and Well-being of the Korean Elderly", Journal of exercise rehabilitation, Vol. 8, No.2, pp.3-17. 2012.
  19. J. S. Park., Y. K. Park., S. H. Jeong., et al, "Influence of Resilience and Depression on Suicidal Ideation in Elderly", Journal of the Korean Gerontological Society, Vol.34, No.2, pp.247-258, 2014.
  20. K. E. Chang., "The effects of ego integrity on death anxiety of the elderly: focusing on the mediating effect of depression", Korean Journal of Human Ecology, Vol.20, No.5, pp.917-926, 2011. DOI: http://dx.doi.org/10.5934/KJHE.2011.20.5.917
  21. Y. H. Choi., S. Y. Kim, "Development of health behavior assessment tool of the Korean elders", Journal of Korean Academic Nursing, Vol.27, No.3, pp.601-613, 2001.
  22. W. Y. Shin., M. A. Choi., J. H. Kim, "The effects of the three resilience factors on problematic online games uses. Cyber communication Academic Society", Cyber communication Academic Society, Vol.26, No.3, pp.43-81, 2009.
  23. C. E. Schwartz., K. Major., J. Rogers., et al, "Validation of a new measure of concept of a good death", Journal of Palliative Medicine, Vol.6, No.4, pp.575-584, 2003. DOI: http://dx.doi.org/10.1089/109662103768253687
  24. H. S. Jeong, "Recognition towards good death among physicians and nurses in an area", Unpublished master's thesis, Catholic University, 2009.
  25. J. A. Yessavage., T. L. Brink., T. L. Rose., et al, "Development and validation of a geriatric depression screening scale: A preliminary report", Journal of Psydriatric Research, Vol.17, No.1, pp.37-49, 1983.
  26. B. S. Kee, "A preliminary study for the standardization of geriatric depression scale short form-korea version", Journal of Korean Neuropsychiatric Association, Vol.35, No.2, pp.298-307, 1996.
  27. S. N. Kim., S. B. Lee, "Spiritual Well-Being, Social Support, Life Satisfaction and Depression in the Community Dwelling Elderly", Journal of East-West Nursing Research, Vol.19, No.2, pp.186-195, 2013. https://doi.org/10.14370/jewnr.2013.19.2.186
  28. H. J. Kim, "Effects of Group Arts Therapy on the Resilience with Older Women of Resident", The Korean Journal of Arts Therapy, Vol.1, pp.255-275, 2014.
  29. S. Y. Lee., C. Ahn, "Effect of Leisure Sports Participation on the Successful Aging of Elderly : Analysis of the Intermediation Effect of Resilience", The Korean Journal of Physical Education, Vol.49, No.4, pp.325-337, 2010.
  30. M. R. Choi., Y. C. Lee, "The Leisure Sports participation, Life stress, Depression and Buffering Effect of Resilience Among the Elderly", The Korean Journal of Physical Education, Vol.5, No.1, pp.75-90, 2012.
  31. E. R. Lee., J. H. Kang., J. P. Jung, "Factors Influencing the Depression of Aged People", The Korean Contents Association, Vol.13, No.7, pp.290-300, 2013. DOI: http://dx.doi.org/10.5392/JKCA.2013.13.07.290
  32. S. K. Kang., K. C. Boo, "Predictors of Elderly Depression Using the Anderson Model", Journal of Welfare for the Aged, Vol.49, pp.7-30, 2010.
  33. J. M. Kim., J. A. Lee, "Depression and Health status in the Elderly", Journal of the Korean Gerontological Society, Vol.30, No4, pp.1311-1327, 2010.
  34. S. H. Lee., Y. H. Kim, "Influencing family on an economic decision-making for the elderhood preparation: focused on willingness to consider applying for reverse mortgage of the older living in mortgage of the older living in metropolitan areas", Korean Family Resource Management Association, Vol.15, No.4, pp.167-188, 2011.
  35. Y. D. Jo., E. G. Yun, "The Impact of Interpersonal Empowerment on the Depression and Life satisfaction of the Elderly", Journal of Welfare for the Aged, Vol.51, pp.58-90, 2011.
  36. E. R. Lee., J. H. Kang., J. P. Jung, "Factors Influencing the Depression of Aged People", The Korean Contents Association, Vol.13, No.7, pp.290-300, 2013. DOI: http://dx.doi.org/10.5392/JKCA.2013.13.07.290
  37. H. J. Choi., J. H. Yoo, "The Effect of Depression and Self-efficacy on Health Promotion Behavior among the Elderly Living Alone in Rural Area", Journal of East-West Nursing Research, Vol.17, No.2, pp. 149-155, 2011.
  38. Statistics Korea. Korean Statistical Information Service. 2013. Avaliable from: http://kosis.kr/statisticsList.