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http://dx.doi.org/10.5762/KAIS.2016.17.5.441

Influence of Nursing Satisfaction, Self-Esteem and Depression on Adjustment of the Elderly in Long-term Care Hospital  

Lee, Kyoung-Mi (College of Nursing, Kosin University)
Jo, Eun-Joo (College of Nursing, Kosin University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.17, no.5, 2016 , pp. 441-451 More about this Journal
Abstract
This study was conducted to determine the influence of satisfaction, self-esteem, and depression on adjustment of elderly patients in long-term care hospitals. The subjects were 116 elderly patients in 15 long-term care hospitals in B and K city. Data were collected from February 14 to March 30, 2015, and analyzed by t-rest, ANOVA, Scheff's test, Pearson correlation coefficients, and stepwise multiple regression. According to the results, there were significant differences in adjustment by religion, marital status, economic status, and perceived level of difficult problems. Adjustment was positively related to satisfaction and self-esteem. In addition, a negative correlation was observed between adjustment and depression. Meaningful variables that influenced the adjustment of elderly patients were depression, satisfaction, self-esteem, and religion. These factors accounted for 53.5% of the total variance in adjustment of the elderly patients in long-term care hospitals, and depression was the most influential factor. In conclusion, development and implementation of effective programs and strategies to reduce depression and to increase satisfaction with care and self-esteem is needed in order to enhance the adjustment of elderly patients in long-term care hospitals.
Keywords
Adjustment; Depression; Long-term care hospitals; Nursing satisfaction; Self-esteem;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
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1 Statistics Korea, "2013 The Elderly Statistics" Available From: http://kostat.go.kr/
2 Korea Institute for Health and Social Affairs, "2014 Survey on The Elderly", 2015.
3 S. J. Hong, "A Study on the Effect of Elderly Long-term Care Insurance on Elderly Care-giving Burden", Unpublished master's thesis, Major in Social Welfare Graduate School of Han young Theological University, 2009
4 Health Insurance Review Agency, "Status of medical institutions",2014
5 J. Y. Lee & Y. K. Park, "Intention of Patients Hospitalized in Nursing Homes in Changing the Nursing Facility", Journal of Korean Academy of Community Health Nursing, Vol. 19, No. 2, pp.196-204, 2008
6 Medical Law, National Legal Information Center, 2015. http://www.law.go.kr
7 D. H. Kim, H. J. Song, "Effect of Acute Hospital and Nursing Home Supplies on Inpatient Expenditure of Long-term Care Hospitals: Implications for the Role of Long-term Care", Journal of Korea Gerontological Society, Vol. 33, No. 3, pp.647-659, 2012.
8 C. S. Kim, "Related Factors affecting Satisfaction of Eldery care Hospitals and Intention to Reuse", Unpublished masters' thesis, Department of Health and Welfare for the Elderly Graduate School Daegu Haany University, 2009.
9 Lee, Hye Kyung, "Influencing Factors of Nursing Home Adaptation in Nursing Home Residents", Unpublished master's thesis, Department of Nursing The Graduate School of Kyunghee University, 2008.
10 G. B. Yoon, Y. J. Ji, Y. J. Kim, "The Factors Related to Depression of the Elderly patients in Four Geriatric Hospital Located in B Metropolitan City", The Journal of Korean Academic Society of Adult Nursing, Vol. 22, No. 6, pp.561-569, 2010.
11 M. S. Kang, "A Study on Process of Psychological Resident Adjustment in Skilled Nursing Home", The Korean Society of Welfare for the Aged, Vol. 2, No.2, pp.55-80, 2012.
12 J. H. Ku, "A Study on the Factors influencing the Adaptation for The Old in the Residential Care Facilities for The Old", Unpublished master's thesis, Department of Social Welfare The Graduate School of Hannam University, 2009.
13 K. T. Kim, "A Study on Process of Resident Adjustment in Nursing Home", Unpublished master's thesis, Department of Elderly Welfare, The Graduate School of Hanseo University, 2010.
14 A. K. Chang & Y. H. Park,, "Sense of Control, Social Support, Depression, and Adjustment of Nursing Home Residents", The Journal of Korean Academic Society of Adult Nursing, Vol. 22, No. 5, pp.519-528, 2010.
15 Y. H. Kim, Hyun-Li Kim" Adjustment of the elderly in long term care hospital", Journal of the Korea Academia-Industrial cooperation Society, Autumn Conference, pp.837-839, 2014.
16 M. S. Seo, "An Ethnographic Study on the education information needs of cancer patients", Unpublished master's thesis, Department of Education, Graduate School of Ajou University, 2002.
17 H. S. Yu, "A comparative study on the impact factors of Nursing homes and elderly care facilities in the adaptation of the elderly residents", Unpublished master's thesis, The Graduate School of Public Administration Kyonggi University, 2012.
18 S. M. Jung, "The Predictive Effect of Melancholy Disposition and the Level of Facility Service Satisfaction on Subjective Well-being of Senior Citizens in the Facilities", Unpublished master's thesis, Department of Psychotherapy Graduate School of Social Education Jeju National University, 2013.
19 N. Y. Yang & S. Y. Moon, "Effects of Self-esteem and Health Status on Adaptation of Elderly Residents in Facilities", The Journal of Korean Academic Society of Adult Nursing, Vol. 22, No. 5, pp.552-560, 2010.
20 S. O. Lee & Y. S. Ha & N. O. Jo, "Gerontological nursing", Korea National Open University, Seoul, 2009.
21 M. H. Bae, "A study on nursing needs and satisfaction of inpatients", Unpublished master's thesis, Department of nursing Graduate school, Hallym University, 2009.
22 La Monica, E. L., Oberst, M. T., Madea, A. R., & Wolf, R. M. Development of a patient satisfaction scale, Research in Nursing & Health, Vol.9 No.1, pp.43-50, 1986.   DOI
23 Y. H. Kim, "Activities of daily living, Self-efficacy, Nursing satisfaction and Adjustment of the elderly in long term care hospital", Unpublished master's thesis, Department of Nursing, Graduate School Chungnam National University, 2013.
24 Maddox, G. L. ,Atchley .R .C. ,Evans. J. G., Hudson. R. B., Kane. R. A., Masoro .E J., Mezey. M. D., Poon. L. W., & Siegler., Adjustment to life in a nursing the process of relocation: a grounded theory study, 2002.
25 B. J. Jeon, "Self-esteem: A test of its measurability", General Studies, Yonsei, Vol.11, No.1, pp.107-130, 1974.
26 H. S. Kang & K. J. Kim, "The Correlation between Depression and Physical Health among the Aged", Journal of Korean public health research, Vol. 25, No. 5, pp.451-459, 2000.
27 G. U. Lee, : "A Grounded Theory Approach to the Adjustment Process of the Institutionalized Elderly :The Control of Reluctance", Journal of Korean Academy of Nursing, Vol.32 No.5, pp.624-632, 2002.   DOI
28 Yesavage, J. A., Brink, T.T., Rose. I, L., et al. Development and validation of a geriatric Depression Screening Scale, Journal of the Psych, Vol.17, No.1, pp.37-49, 1982.
29 B. S. Kee, "A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version", Journal of the The Korean Neuropsychiatric Association, Vol. 35, No. 2, pp. 298-307, 1996.
30 S. K. Kim, "A Study of Daily Hassles and Psychosocial Adaptation of Adolescents in Group Homes", Korean journal of youth studies, Vol.10 No.1, pp.117-137, 2003.
31 E. J. Choi, "A study on nursing needs and satisfaction of elderly inpatients", The Graduate Scool of Hanyang University, 2007.
32 I. H. Kim & H. J. Park & S. J. Kwon & H. S. Park & S. J. Kim & H. N. Lee & S. H. Baek, "The Degree of Clinical Nurse's Perception and Performance of Elderly Care and the Degree of Elderly Patient's Expectation and Satisfaction", Journal of Korean Clinical Nursing Research, Vol.10 No.1, pp.6-19, 2004.
33 G. J. Park & J. H. Lee & J. U. Bae & Y. H. Kang & H. S. Song, "Self-esteem and Depression of Elders in Welfare Facilities", Journal of Korea Gerontological Nursing, Vol. 9, No. 1, pp.51-59, 2007.
34 H. K. Kim & K. J. Kang, "A Study of Correlation between Self-Esteem and Self-Care Agency of Elderly Inpatients", Journal of Korea Gerontological Nursing, Vol. 2, No. 1, pp.7-21, 2000.
35 J. H. Kim & G. B. Kim, "Comparative Study of Perceived Health Status, Self-Esteem, Depression, and Life Satisfaction between Institutionalized Elders and Elders Living Home", Journal of Korea Gerontological Nursing, Vol. 10, No. 2, pp.182-192, 2008.
36 J. S. Nam & J. H. Yanag, "Factors Influencing on Depression of Frail elderly with Chronic Disease in Long-term Care Hospitals", Journal of the Korean Data Analysis Society, Vol.14 No.6, pp.265-265, 2012.