Browse > Article
http://dx.doi.org/10.5762/KAIS.2014.15.7.4336

Construction of a Structural Model about the Perceived health status, Pain, Sleep pattern and Quality of life in the Elderly  

Chang, Koung-Oh (Division of Nursing, Youngsan University)
Lim, Jung-Hye (Department of Nursing, Jinju Health College)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.15, no.7, 2014 , pp. 4336-4345 More about this Journal
Abstract
This study examined the fitness of a path model for the relationship among the perceived health status, pain, sleep pattern, and quality of life in the elderly. The data was collected by questionnaires to 276 elderly in J city. The collected data was analyzed using PASW 18.0(win) and AMOS 18.0(win) program. The model fit indices for the hypothetical model were in good agreement with the recommended levels ($x^2$/DF=1.393, p=.077, GFI=.971, TLI=.983, CFI=.989, RMSEA=.038). Based on the constructed model, the quality of life was influenced directly by the perceived health status, pain and sleep pattern, indirectly by the perceived health status and pain. Pain was influenced directly by the perceived health status, and sleep pattern was influenced directly by pain. These results highlight the need for the development of intervention strategies for the promotion of perceived health status in the elderly to improve the quality of life.
Keywords
Elderly; Pain; Perceived health status; Quality of life; Sleep pattern;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 L. M. Lewis, B. J. Riegel, Determinants of perceived health in older adults with hypertension. Heart & Lung: The Journal of Acute and Critical Care, Vol. 39, No. 1, pp.41-49, 2009. DOI: http://dx.doi.org/10.1016/j.hrtlng.2009.06.010   DOI   ScienceOn
2 S. Y. Kim, S. Y. Sohn, Factors related to health related quality of life in rural elderly woman. Journal of Korean Gerontological Nursing, Vol. 14, No. 2, pp.91-98, 2012.
3 H. Y. Hwang, The relationship among pain, depression and sleep disturbance of the elderly with chronic low back pain, Unpublished master's thesis, Catholic University of Pusan, Pusan, 2012.
4 H. K. Chang, A study on chronic pain, pain coping, and depression according to attributions of somatic symptoms among elderly people. Journal of Korean Acad Fundam Nurs, Vol. 16, No. 4, pp.402-411, 2009.   과학기술학회마을
5 E. H. Kim, Y. K. Kim, Factors related to the health related quality of life among Institutionalized elders. Journal of Korean Academy of Nursing, Vol. 22, No. 3, pp.281-290, 2010. DOI: http://dx.doi.org/10.12799/jkachn.2011.22.3.281   과학기술학회마을
6 EuroQol Group. EuroQol: a new facility for measurement of health-related quality of life. Health Policy, Vol. 16, pp.199-208, 1990. DOI: http://dx.doi.org/10.1016/0168-8510(90)90421-9   DOI   ScienceOn
7 J. W. Shin, Y. K. Park, S. R. Suh, J. E. Kim, Factors influencing quality of life in elderly diabetic patients of Korea: Analysis from the Korea national health and nutrition examination survey in 2008. Journal of the Korean Gerontological Society, Vol. 31, No. 3, pp.479-487, 2011.
8 C. Fornell, D. F. Lacker, Evaluating Structural Evaluations Model with Unobservable Variables and Measurement Error. Journal of Marketing Research, Vol. 18, pp.39-50, 1981. DOI: http://dx.doi.org/10.2307/3150980   DOI   ScienceOn
9 N. Haseli-Mashhadi, T. Dadd, A. Pan, Z. Yu, X. Lin, O. H. Franco, Sleep quality in middle-aged and elderly Chinese: Distribution, associated factors and associations with cardio-metabolic risk factor. BMC Public Health, Vol. 9, No. 9, pp.130, 2009. DOI: http://dx.doi.org/10.1186/1471-2458-9-130   DOI   ScienceOn
10 S. Hoffman, Sleep in the Older Adult: Implications for Nurses. Geriatr Nurs, Vol. 24, No. 4, pp.210-216, 2003. DOI: http://dx.doi.org/10.1016/S0197-4572(03)00213-1   DOI   ScienceOn
11 D. K. Kim. The cause of sleep disturbance in hospitalized elderly patients. Unpublished master's thesis, Kyunghee University, Seoul, 2011.
12 Y. J. Ju, A path analysis for health related quality of life in elderly. Unpublished doctor's thesis, Kongju National University, Kongju, 2013.
13 K. O. Chang, D. Y. Bae, S. G. Park, Effect of perceived health status, sleep and depression on quality of life elderly school participants. Journal of Muscle Joint Health, Vol. 19, No. 3, pp.329-339, 2012. DOI: http://dx.doi.org/10.5953/JMJH.2012.19.3.329   과학기술학회마을   DOI   ScienceOn
14 V. H. Menec, The relation between everyday activities and successful aging: A 6 year longitudinal study. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, Vol. 58, No. 2, pp.74-82, 2003. DOI: http://dx.doi.org/10.1093/geronb/58.2.S74   DOI
15 E. S. Yim, K. J. Lee, Effects of physwical ability, depression and social support on quality of life in low income elders living at home. Journal of Korean Gerontological Nursing, Vol. 5, No. 1, pp.38-49, 2003.
16 K. B. Kim, H. A. Kim, S. H. Sok, A study on health perception, health knowledge, and health promoting behavior in the elderly. Journal of East-West Nursing Research, Vol. 14, No. 1, pp.56-67, 2008.   과학기술학회마을
17 E. O. Lee, S. O. Lee, N. Y. Lim, S. H. Choi, D. S. Kim, S. J. Kim, Y. B. Hahn, J. H. Kim, K. J. Kim, J. H. Park, Sensitivity and validity test of pain rating scale using pain behavior of adult patients with chronic pain. Journal of Korean Academy of Nursing, Vol. 22, No. 1, pp.5-16, 1993.   과학기술학회마을
18 H. A. Kim, A study on health perception, health knowledge and health promoting behavior of the elderly. Unpublished master's thesis, Kyunghee University, Seoul, 2007.
19 Ministry of Health and Welfare. 2008 Guideline of the business on health and welfare for elderly. Ministry of Health and Welfare. Available From: http://www.mw.go.kr (accessed Feb, 1, 2014)
20 S. M. Kim, J. J. Oh, M. S. Song, Sleep pattern and related factors among community dwelling elderly. The Seoul Journal of Nursing, Vol. 11, No. 4, pp.24-38, 1997.
21 S. M. Park, J. Y. Kim, I. S. Jang, E. J. Park, Severity of insomnia, depression, and quality of life in elderly. Journal of the Korean Gerontological Society, Vol. 28, No. 4, pp.991-1007, 2008.
22 G. S. Kim, Analysis of structural equation model. Seoul: Hannarae Publishing, 2007.
23 N. S. Kamel, J. K. Gammack, Insomnia in the Elderly: Cause, Approach, and treatment. The American Journal of Medicine, Vol. 119, No. 6, pp.463-469, 2006.   DOI   ScienceOn
24 S. M. Park, Relationship of perceived health status, pain, ADL, loneliness and quality of life among elderly living alone. Unpublished master's thesis, Kongju National University, Kongju, 2007.
25 H. J. Kim, Chronic pain, sleep pattern and quality of life in the elderly. Unpublished master's thesis, Hanyang University, Seoul, 2013.
26 E. M. Oh, The relationship of perceived health status, daily living activities, depression and quality of life among elderly suffering from stroke. Unpublished master's thesis, Hanyang University, Seoul, 2010.
27 J. J. Oh, M. S. Song, S. M. Kim, Development and validation of korean sleep scale. Journal of Korean Academy of Nursing, Vol. 28, No. 3, pp.563-572, 1998.   과학기술학회마을   DOI
28 The Statistics Korea. 2013 Elderly's statistics. DOI:http://www.kostat.go.kr/portal/korea/kor_nw/2/6/5/in dex.board?bmode=read&aSeq=308688
29 L. J. Kang, The effects of related factors on quality of life for the elderly. Journal of Korean Home Management Association, Vol. 26, No. 5, pp.129-142, 2008.   과학기술학회마을