Browse > Article
http://dx.doi.org/10.12799/jkachn.2018.29.3.310

Effects of the Elderly's Health Statuses, Health Behavior, and Social Relations on Their Health-related Quality of Life: Focusing on Family Types  

Kim, Young Bum (Hallym University Institute of Aging, Hallym University)
Lee, Seung-Hee (Department of Nursing, University of Ulsan)
Publication Information
Research in Community and Public Health Nursing / v.29, no.3, 2018 , pp. 310-321 More about this Journal
Abstract
Purpose: The purpose of this study is to identify the effects of the elderly's health statuses, health behavior, and social relations on their health-related quality of life (HRQoL) according to their family types. Methods: The subjects of this study were 1000 elderly persons (298 living alone, 420 living with their spouses, and 282 living with their family)living in C city in Gangwon Province. Data were collected through structured questionnaires from July 20 to September 30, 2015. The SPSS/WIN program was used for data analysis. Results: The HRQoL of the elderly living alone was much lower than the other groups. The most influential factors on the HRQoL include self-rated health and depressive symptoms in all three groups. Social activities and skipping meals were associated with the HRQoL of the elderly living alone and living with their spouses, while marital status, number of chronic disease, and instrumental activities of daily living were associated with the HRQoL of the elderly living with their family. Conclusion: Nurses should take into account family types when designing interventions for improving the HRQoL of the elderly.
Keywords
Aged; Family; Health status; Quality of life;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of the Korean Neuropsychiatric Association. 1996;35(2):298-307.
2 van der Poel MGM. Delineating personal support networks. Social Networks. 1993;15(1):49-70. https://doi.org/10.1016/0378-8733(93)90021-C   DOI
3 Ware JE, Jr M, Kosinski DM, Turner-Bowker BG. How to score version 2 of the SF-12 health survey: with a supplement documenting version 1. Boston Massachusetts: Quality Metric Incorporation; 2002. 267 p.
4 Song JS, Park WS, Choi HS, Seo JC, Kwak YH, Kim SA, et al. Pesticide exposure of alpine agricultural workers in Gangwondo and the measurement of their health status measured by SF-12. The Korean Journal of Pesticide Science. 2005;9(4):287-291.
5 Shou J, Ren L, Wang H, Yan F, Cao X, Wang H, et al. Reliability and validity of 12-item short-form health survey (SF-12) for the health status of Chinese community elderly population in Xujiahui district of Shanghai. Aging Clinical and Experimental Research. 2016;28(2):339-346. https://doi.org/10.1007/s40520-015-0401-9   DOI
6 Seo IK, Cho HC. Mediation effects of depression in the relationship between stress and suicidal ideation of the elderly: A comparative study on people who live alone and those who live with family. Korean Journal of Gerontological Social Welfare. 2013;61:135-162.
7 Fiorillo D, Sabatini F. Quality and quantity: The role of social interactions in self-reported individual health. Social Science & Medicine. 2011;73(11):1644-1652. https://doi.org/10.1016/j.socscimed.2011.09.007   DOI
8 Yoo SH, Kim CS. Determinants of living arrangement patterns among the married Korean elderly. Journal of East and Central Asian Studies. 2011;22(3):161-176.
9 Kim JY. Living arrangements and the distribution of multiple resources among Korean older adults. Korea Journal of Population Studies. 2017;40(1):1-28.
10 Kim SY, Sohn SY. Factors related to health related quality of life in rural elderly women. Journal of Korean Gerontological Nursing. 2012;14(2):91-98.
11 Kim HS. Effect of pain, nutritional risk, loneliness, perceived health status on health-related quality of life in elderly women living alone. Journal of the Korea Convergence Society. 2017;8(7):207-218.   DOI
12 Pender NJ. Expressing health through lifestyle patterns. Nursing Science Quarterly. 1990;3(3):115-122. https://doi.org/10.1177/089431849000300306   DOI
13 Choi MK, Kang MH, Kim MH. Diet and health status of elderly women according to the family type. Korean Journal of Community Nutrition. 2016;21(3):256-264. https://doi.org/10.5720/kjcn.2016.21.3.256   DOI
14 Yang SO, Cho HR, Lee SH. A comparative study on influencing factors of health related quality of life of the elderly in senior center by region: Focus on urban and rural areas. Journal of Digital Convergence. 2014;12(1):501-510. https://doi.org/10.14400/jdpm.2014.12.1.501   DOI
15 Jeong JH. Difference on the elderly's residential environment and life satisfaction in the living arrangement. Journal of the Architectural Institute of Korea Planning & Design. 2013;29(12):115-122.   DOI
16 Won CW, Rho YG, Sunwoo D, Lee YS. The validity and reliability of Korean instrumental activities of daily living (KIADL) scale. Journal of the Korean Geriatrics Society. 2002;6(4):273-280.
17 Russell D, Peplau LA, Cutrona CE. The revised UCLA loneliness scale: Concurrent and discriminant validity evidence. Journal of Personality and Social Psychology. 1980;39(3):472-480.   DOI
18 Kim OS. Korean version of the revised UCLA loneliness scale: Reliability and validity test. Journal of Korean Academy of Nursing. 1997;27(4):871-879. https://doi.org/10.4040%2Fjnas.1997.27.4.871   DOI
19 Shin KR, Byeon YS, Kang YH, Oak JW. A study on physical symptom, activity of daily living, and health-related quality of life (HRQoL) in the community-dwelling older adults. Journal of Korean Academy of Nursing. 2008;38(3):437-444. https://doi.org/10.4040/jkan.2008.38.3.437   DOI
20 Suh SR, Kim MH. Influencing factors on the health-related quality of life of older adults living alone. Journal of the Korean Gerontological Society. 2014;34(4):705-716.
21 Moon SM. Gender differences in the impact of socioeconomic, health-related, and health behavioral factors on the health-related quality of life of the Korean elderly. Journal of Digital Convergence. 2017;15(6):259-271. https://doi.org/10.1371/journal.pone.0143579   DOI
22 Park KS, Kim MS. The impact of changes in household living arrangements on the changes in poverty rate among elderly people in South Korea. Korean Journal of Sociology. 2016;50(1):221-253.   DOI
23 Kim JY, Lee SG, Lee SK. The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly. Journal of the Korean Gerontological Society. 2010;30(2):471-484.
24 Kim KS. Effects of the health status and health behavior on health-related quality of life of the elderly living alone and living with their families: Using data from the 2014 community health survey. Journal of Korean Academy Community Health Nursing. 2017;28(1):78-87. https://doi.org/10.12799/jkachn.2017.28.1.78   DOI
25 Park KS, Park YR, Yum YS. The effects of social participation on health related quality of life among rural elderly. Mental Health & Social Work. 2015;43(2):200-227.
26 Choi KW, Jeon GS. Effects of frailty on health-related quality of life of rural community-dwelling elderly: Mediating and moderating effects of fall-related efficacy and social support. Journal of Korean Academy Community Health Nursing. 2016;27(4):380-387. https://doi.org/10.12799/jkachn.2016.27.4.380   DOI
27 Lee SH, Kim YB. Which type of social activities decrease depression in the elderly? An analysis of a population-based study in South Korea. Iranian Journal of Public Health. 2014;43(7):903-912.
28 Lee DH. The effects of quality of life in the elderly's health condition. Journal of the Korean Gerontological Society. 2010; 30(1):93-108.
29 Statistics Korea. Life expectancy and disability adjusted life expectancy[Internet]. Daejeon: Statistics Korea. 2017 [cited 2018 May 28]. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=2758
30 Korea Institute for Health and Social Affairs. 2014 survey of the elderly. Sejong: Korea Institute for Health and Social Affairs; 2014 December. Report No.: 2014-61.