• Research in Community and Public Health Nursing
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• v.18 no.3
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• pp.391-399
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• 2007

Purpose: The purpose of this study was to investigate stress, depression and health risk behaviors in elderly people. Methods: The subjects were 238 Korean elders who had visited the convalescent center. The level of stress was measured by the Korean version of BEPSI, which was developed by Bae, Jeung & Yoo (1992) and modified by Yim et al.(1996). CES-D was used to measure the level of depression. For health risk behaviors, we measured cigarette consumption and alcohol drinking during the last one month. Results: Of the subjects, 17.4% were excessive drinkers and 18.9% were currently smokers. The level of stress was between moderate and high, and 62.7% of the subjects were depressed. There were significant differences in stress and depression according to economic status and self-reported health. In addition, depression had positive correlations with stress and QF score. Conclusion: Stress and depression management programs for the elderly are needed. These findings indicate that nurses must consider stress and alcohol drinking when they take care of depressed elderly people.

• Journal of muscle and joint health
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• v.19 no.3
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• pp.308-318
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• 2012

Purpose: Diabetes Self Management Behavior (DSMB) is crucial for the elderly with diabetes to prevent diabetes complications and to improve their quality of life. The Purposes of this study were to investigate the current status of DSMB and to identify motivational factors related to DSMB in community dwelling older adults with diabetes. Methods: The subjects were 150 diabetic elderly who visited 2 community senior centers in S city. DSMB scale consisted of 5 sub-domains; Being active, healthy eating, regular medication, glucose monitoring, and foot care rated by a scale with a range of 0 to 7. Personal motivation(i.e., intention to behavior) and social motivation including family support and health professional support were measured. Results: The mean score of DSMB was 4.27. The mean score of intention to behavior was 2.52. DSMB was related to Intention to behavior (r=.461, p<.001), family support (r=.342, p<.001), and health professional support (r=.284, p<.001). In regression analysis, a total of 33.4% of variance in DSMB was accounted for by intention to behavior, family support, and health professional support. Conclusion: To improve DSMB of the elderly, diabetes educator should consider on the strategies across both personal and social motivation related to DSMB.

• The Korean Journal of Health Service Management
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• v.12 no.4
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• pp.155-172
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• 2018

Objectives: The purpose of this study was to investigate the influence of fall-related knowledge and fall prevention self-efficacy of care-givers working in long-term care hospitals on fall prevention behaviors and fall management behaviors for older adults with dementia. Methods: Participants were 125 care-givers working in long-term care hospitals. Data were collected with structured questionnaires from August 7 to 14, 2018. Data were analyzed by t-test, ANOVA, $Scheff{\dot{e}}$ test, Pearson's correlation coefficients, and multiple regression analysis using SPSS 18.0. Results: Fall prevention self-efficacy influence fall prevention behaviors(${\beta}=.55$, p<.001), while fall-related knowledge impacted fall management behaviors(${\beta}=.43$, p<.001). Conclusions: The results suggest that an education program for fall prevention of older adults with dementia in long-term care hospitals should focus on improving the fall-related knowledge and fall prevention self-efficacy of care-givers to increase both the fall prevention behaviors and fall management behaviors of care-givers.

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.667-675
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• 2003

Purpose: This study was purposed to provide basic data for developing future health promotion programs by comparing health-promoting behavior, life satisfaction and self-esteem between the Korean elderly and the American-Korean elderly. Methods: The subjects were volunteer participants of 120 elders in the Gyeongsan City in Korea and 120 elders in the state of Washington in the U.S. Tools used in this study were Health Promoting Lifestyle Profile (47 items), Life Satisfaction Scale (20 items) and Self-Esteem Scale (10 items). To analyze data, this study used frequency, percentage, chi-square test, t-test, Kendal tau test, Pearson's correlation coefficient with SPSS program. Results: 1) The average score of health-promoting behaviors was 3.21 in Koreans and 3.50 in American-Koreans, showing a significant difference between the two groups. 2) The sub-scales that got the highest score of health-promoting behaviors were self-actualization and nutrition(M=3.41) in Koreans and nutrition(M=3.61) in American-Koreans, and that with the lowest score was exercise in both groups(2.89 in Koreans and 3.02 in American-Koreans). 3) The average score for life satisfaction was 2.76 in Koreans and 3.06 in American-Koreans, showing a significant difference between the two groups. 4) The average score for self-esteem was 3.39 in Koreans and 3.09 in American-Koreans, showing a insignificant difference between the two groups. 5) Health-promoting behaviors were positively related to life satisfaction and self-esteem. Life satisfaction was positively related to self-esteem in both groups. Conclusions: According to the results of this study, the health-promoting behaviors of Korean and American-Korean elders strongly correlated with life satisfaction and self-esteem. Therefore, health promoting programs that enhance life satisfaction and self-esteem should be developed in order to promote the elderly's healthy lifestyle.

• 대한예방의학회:학술대회논문집
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• 2001.10a
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• pp.161-163
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• 2001

• Journal of Korean Academy of Nursing
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• v.35 no.2
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• pp.252-261
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• 2005

Purpose: The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community. Method: The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses. Result: The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, $64.2\%$ of the subjects perceived their health status as 'not healthy'. In terms of health promotion behaviors, $77.8\%$ of the subjects had ceased smoking, $83.9\%$ stopped drinking, $56.4\%$ had a regular diet, $45.8\%$ received regular physical check-ups during the past two years, and $66\%$ received flu shots. Approximately $50\%$ of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy. Conclusion: Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

• Journal of the Korean Home Economics Association
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• v.45 no.3
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• pp.57-69
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• 2007

The purpose of this study is to examine the impacts of the physical health on health behaviors of the rural elderly. In this study, physical health is measured self-rated health and farmer symptoms. The specific questions addressed in this study are: What are the general tendencies of health behavior, self-rated health and farmer symptoms? What are the direct impacts and indirect impacts of respondents' characteristics, self-rated health and farmer symptoms on health behaviors of the rural elderly? For this purpose, survey data was gathered from 881 rural elderly who live in a village. The statistical methods used for data analysis were descriptive statistics, correlations, and path analysis with spsswin 12.0 program. The major findings of this study are as follows: The level of health behaviors and self-rated health is low and the level of farmer symptoms is high. In general, it can be said that respondents of this study have the low level of physical health and health behaviors. A path analysis shows the relation of variables, which influence on health behaviors. Economic status, education status and farmer symptoms play direct and positive effects on health behaviors. Especially, the effect of farmer symptoms is more important than the others. Sex and age are indirectly significant on health behavior. The results obtained from the study confirm that objective physical health, like as farmer symptoms, plays important roles in health behavior of the rural elderly. It means that the Korean rural elderly need many facilities and services to promote their physical health.

• Journal of Korean Gerontological Nursing
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• v.20 no.3
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• pp.177-184
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• 2018

Purpose: Self-efficacy encompass one's belief in one's ability to organize and achieve goals. Previous studies have not adequately examined the mediating role of self-efficacy between social support and health promotion behavior. Therefore, this study explored the mediating role of self-efficacy in the relationship between social support and health promotion behavior among older women living alone. Methods: Participants were 145 older women living alone attending a local welfare center for seniors. They completed the Self-efficacy Scale, Medical Outcome Study Social Support Survey Scale, and Health Promoting Lifestyle Profile II. Data were analyzed using Descriptive statistics, Pearson correlation coefficients, Baron and Kenny's regression analysis and the Sobel test with the SPSS program. Results: The average social support, health promotion behavior, and self-efficacy were not high. Self-efficacy was a partial mediating role in the relationship between social support and health promotion behavior. Social support was positively correlated with self-efficacy (r=.31, p<.001) and with health promotion behavior (r=.43, p<.001), and self-efficacy was positively related with health promotion behavior (r=.39, p<.001). Conclusion: To enhance health promotion behavior in older women who live alone, intervention strategies to increase social support and self-efficacy for these women should be developed.

• Journal of Korean Public Health Nursing
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• v.31 no.2
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• pp.244-256
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• 2017

Purpose: This research was conducted to identify methods of inducing health promotion behavior, perceived health status, social participation and empowerment in the frail elderly receiving home visiting services. Methods: The subjects were 255 frail elders aged over 65 registered in the home visiting services of five public health centers in Daegu. Data were collected from June 9 to August 10, 2015. Data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient using SPSS Win 18.0. Results: The mean health promotion behavior, perceived health status, social participation and empowerment scores were 2.56 (${\pm}0.33$), 7.11 (${\pm}1.98$), 2.60 (${\pm}0.69$) and 2.90 (${\pm}0.29$), respectively. There was significant difference in health promotion behavior by client classification and life satisfaction. There were significant differences in perceived health status by life satisfaction, social participation by religion and client classification and empowerment by past jobs. Health promotion behavior, perceived health status, social participation and empowerment were positively correlated. Conclusion: An integrative health care program that includes these significant variables of subjects is essential to management and prevention of deterioration of frailty in elderly.

• Research in Community and Public Health Nursing
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• v.29 no.3
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• pp.310-321
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• 2018

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.