Browse > Article

Scale Development on Health Conservation of the Institutionalized Elderly  

Sung, Ki-Wol (College of Medicine, Department of Nursing, Catholic University of Daegu)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.1, 2005 , pp. 113-124 More about this Journal
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
Institutionalized elderly; Health conservation;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Lee, G. E. (2000). Life of the institutionalized elderly. Unpublished doctoral dissertation, Kyungpook National University of Korea, in Daegu
2 Sun, U. D. (2003). The Study of development for public health service system of elders. Korea Institute for Health and Social Affairs
3 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
4 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
5 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
6 KASCWI (2004). Korea Association of Senior Citizen Welfare Institutions; http://www.elder.or.kr
7 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   DOI   PUBMED   ScienceOn
8 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
9 Ki, B. S. (1996). A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version. J Korean Neuropsychiatric Acad, 35(2)
10 Kim, A. K. (1998). The development study of a health behavior instrument of adult. J Korean Acad Nurs, 28(3), 540-548
11 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
12 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
13 Chung, S, E. (1999). Powerlessness of elderly and the degree of elder's powerlessness. J Korean Acad Nurs. 29(6), 1294-1303
14 Byun, Y. S., & Jang, H. J. (1992). A study on analysis of conception of health promotion. J Korean Acad Nurs, 22(3), 362-372
15 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
16 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
17 Zung, W. W. K. (1965). 'A self-rating depression scale'. Archive of General Psychiatry. American Medical Association, 12, 63-70
18 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
19 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
20 Sung, K. W. (1995). Analysis of conception of conservation. The Central Med, 60(6), 493-498
21 Lawton, M. P. (1972). The functional assessment of elderly people. J Am Geriatr Soc, 19(6), 465-481
22 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
23 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   DOI   ScienceOn
24 Levine, M. E. (1971). 'Adaptation and assessment': A rationale for nursing intervention. Am J Nurs, 66(11), 253-264
25 KNSO (2003). Korea National Statistical Office; http://www.nso.go.kr
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 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
28 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   DOI   ScienceOn
29 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
30 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
31 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
32 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