• Title/Summary/Keyword: 주관적 신체건강

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The Effect of Subjective Quality of Life and Self-esteem on Suicide Ideation among the Older Adults: Focused on the Mediating Effect of Depression (노인의 주관적인 삶의 질과 자아존중감이 자살사고에 미치는 영향: 우울을 매개변인으로 하여)

  • Hwang, Mi-Gu;Kim, Eun-Joo
    • 한국노년학
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    • v.28 no.4
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    • pp.865-885
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    • 2008
  • This study addresses a number of issues related to suicide among older persons in Korea. The study investigates various aspects of elderly's suicide ideation, and how this quality of life and self-esteem impacts on their suicide ideation through depression. For the purpose of the study, the survey was conducted and 8,135 elderly 65 years old and over who reside in Gyeonggi-do participated. The result of the study indicated that quality of life, self-esteem and depression of the elderly showed statistically significant suicide ideation of the elderly. Participants were divided into two groups according to their physical health status. That is, to find out how quality of life and self-esteem of the elderly impact on the suicide ideation directly and indirectly through depression among elderly people with physical disease and no disease. The results showed that depression of the elderly people with physical disease was the most highly significant factors in explaining the elderly's suicidal ideation directly a comparison of elderly people with no physical disease. Therefore, depression is a major mental health problem associated with suicide. Finally, these findings of the study can improve the elderly people's quality of life and reduce suicide ideation.

An Exploration of Somatization among Korean Older Immigrants in the U.S. (신체증후군에 대한 탐색적 연구: 한인 노인 이민자를 중심으로)

  • Ahn, Joonhee
    • 한국노년학
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    • v.28 no.4
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    • pp.1179-1200
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    • 2008
  • Knowledge about somatization (somatic manifestation of psychological distress symptoms) among immigrant populations is limited. While several studies have recognized somatization as a culturally distinctive expression of depression amongst older Korean immigrant population, somatization has not been incorporated into the comprehensive empirical model for depression of this population. In order to improve our general understanding of the phenomenon, the objective of this study is to empirically investigate principal contributing factors of somatization as well as inter-relationships among them. Data were collected from a cross-sectional community survey of 234 older Korean immigrants ($$age{\geq_-}55$$) in the New York metropolitan area. The statistical methodology employed a robust hierarchical regression procedure that iteratively downweights outliers. The results indicated that living arrangement, greater numbers of physical illnesses, and depression were significant explanatory factors of somatization. Furthermore, physical illness had a significant joint effect with perception of health on somatization, which confirms that positive perception of health exerts a moderating effect on the relationship between physical illness and somatization. The knowledge obtained from this study will contribute toward extending our knowledge on somatization and implementing more culturally sensitive mental health services for this population.

Development and evaluation of physical activity promotion program in the resident elderly (재가노인을 위한 신체활동증진 프로그램의 개발 및 효과)

  • Kwon, Sang-Min;Kwon, Mal-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.485-491
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    • 2016
  • The purpose of this study was to identify the effects of a visiting exercise program for physical activity promotion on physical (grip strength, static balance) and psychological (depression, perceived health status) function of frail elderly patients receiving home visiting service care. Subjects included a total of 49 patients; 24 in the control group and 25 in the experimental group. The visiting exercise program was carried out 16 times for 8 weeks. The collected data were analyzed by ${\chi}^2-test$ and t-test using SPSS/WIN 21.0 program. There was a significant improvement in the left grip strength (t=2.19, p<.000), right grip strength (t=5.07, p=.032), static balance (t=3.98, p=.050), and depression (t=-8.83, p=.009) in the experimental group compared with the control group. The visiting exercise program for physical activity promotion was effective on physical and psychological functions for frail elderly patients receiving home visiting service care. Further research is needed in a longitudinal study incorporating various centers to examine the maintenance of such effects.

Comparison of quality of life and related factors according to hearing impairment in elders using the Korea National Health and Nutrition Examination Survey (2016-2018) (청력저하 여부에 따른 노인의 삶의 질 관련 요인: 국민건강영양조사 자료(2016-2018년) 분석)

  • Han, Su-Jeong
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.265-274
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    • 2021
  • The Purpose of this paper was to explore the effect of hearing impairment on HRQOL in Korean elders. We carry out a cross-sectional analysis using nationally representative data from the KNHANES, 2016-2018. The survey was conducted on 4,754 elders who responded to questions about hearing impairment. Quality of life was compared between hearing impaired elders and elders with no hearing impairment using the t-test and chi-square test, and factors related to quality of life were analyzed by multivariate logistic regression using SPSS version 22.0. There was significant difference in quality of life between hearing impaired elders and elders with no hearing impairment. Walking exercise were identified as factors related to quality of life in elders with hearing impairment, while marriage status, walking exercise and limited movement were found to be related to quality of life among elders with no hearing impairment. In order to improve the HRQOL of elders with hearing impairment, multidisciplinary efforts and development of educational programs are required.

Prediction of Quality of Life among the Elderly at Care Facilities for the Elderly according to Health States, Physical and Cognitive Functions, and Social Supports-Focused on D Metropolitan City (노인요양시설 노인의 건강상태, 신체적, 정신적 기능, 사회적 지지에 따른 삶의 질 예측요인-D 광역시를 중심으로-)

  • Kim, Jong-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4656-4667
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    • 2015
  • The purpose of this study was to investigate relations among the quality of life, health states, physical functions, cognitive functions, and social supports of the elderly at care facilities. The subjects include the elderly that were living in care facilities in some urban areas and aged 65 or older. The data of total 260 old people were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The elderly at care facilities, who were considered as physically and cognitive vulnerable, scored higher means on quality of life when they were satisfied with the length of stay and sleeping state, had higher subjective health states, had no tooth inconvenience and forgetfulness, suffered from a lower level of depression, had better cognitive functions, and received higher social supports. Quality of life had correlations with the sleeping state(r=-.20, p<.001), subjective health state(r=-.24, p<.001)s, depression(r=-.30, p<.001), and social supports(r=.30, p<.001). Social supports(${\beta}=.30$, p<.001), depression(${\beta}=-.25$, p<.001), subjective health states(${\beta}=-.22$, p<.001), length of stay(${\beta}=-.22$, p<.001), and sleeping state(${\beta}=-.12$, p=.025) turned out to predict the quality of life of the elderly at care facilities and have close relations with it. In short, the quality of life of the elderly is related to many different factors at care facilities. The findings indicate that nursing interventions and managements for quality of life require a mental and social approach or a whole person approach with a focus on the understanding of individual senior citizens rather than on physical activities and diseases.

The Structural Relationship Between the Middle Aged Office Employees' Physical·Cognitive, Psychological, and Social Factors and Successful Aging (중장년 사무직 근로자의 신체적·인지적, 심리적, 사회적 요인과 성공적 노화 간의 구조적 관계)

  • Jeong, Hong In
    • 한국노년학
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    • v.38 no.1
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    • pp.27-45
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    • 2018
  • The purpose of this study was to identify between the successful aging-related predictive factors and the successful aging in the middle aged office. The predictive factors of successful aging such as subjective health condition, cognitive functions, self-esteem, and social support were confirmed by the existing literature. The population of the study was the middle aged office employees, who are generally defined an age group from 40 to 60. The sample of this study was targeted to employees working at companies registered to securities, KSDAQ, and KONEX in Korea. SPSS WIN 23.0 and AMOS 21.0, and M-plus 6.12 were used for the data analysis. The findings of this study were presented below. First, the result of the structural relationship between the predictive factors of successful aging (subjective health condition, cognitive function, self-esteem, and social support) and successful aging was appropriate as RMSEA=.059, TLI=.932, CFI=.944. Second, subjective health condition and social support were significant variables for successful aging but cognitive function and self-esteem were not significant. Third, social support, which is a social factor, was the most influential among other variables. Based on the results, theoretical and practical implications were presented.

The Physical and Mental Symptoms of Normal Subjects with Mild Life Stress (생활 스트레스가 경미한 일반 성인에서의 신체적 및 정신적 증상 - 종합병원 건강증진센터 내원자들을 대상으로 -)

  • Chu, Sang-Hee;Ha, Eun-Hye;Lee, Byung-Ook;Jon, Duk-In;Kim, Young-Hyun;Song, Dong-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.48-54
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    • 2002
  • Objectives : Aims of the study were to investigate the physical and mental symptom profiles related with perceived life stress in normal populations. Methods: The study subjects were 186 subjects who visited the Health Promotion Center at National Health Insurance Corporation Ilsan Hospital between July and December, 2000. We measured Life Stress Assessment Scale (LSAS), SCL-90-R (Symptom Check List-90 Revised), and Physical Health Check Questionnaires to evaluate perceived life stress for one year, and physical and mental symptoms. The physical markers related with stress were also measured. According to LSAS scores, we selected two groups from all subjects : Group I (LSAS score with lower 25 percentile) and Group II (LSAS score with higher 75 percentile). Each number of subjects was 46 in Group I and 47 in Group II. We analyzed stasistical significances of study variables between Group I and II. Results : Group II subjects showed higher scores in all subscales of SCL-90-R compared to Group I subjects. Comparing to Group I, Group II subjects complained more physiological symptoms related with anxiety and depression. But there were no statistical differences in the physical markers related stress between two groups. Conclusion: We found that past year-life stress caused various mental and physical symptoms, which didn't develop any physical illness related life stress in normal populations yet.

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Factors Influencing the Mental Health of Female Middle School Students Living in Rural Area After COVID-19 Quarantine Lifts (COVID-19 격리 해제 이후 농촌 여중생의 정신건강 영향요인)

  • Han, Sukhee;Gang, Moonhee
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.71-77
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    • 2022
  • The purpose of this study was to identify factors affecting the mental health of female middle school students living in rural areas. The study period was from March 14 to 25, 2022, and was conducted with 239 female middle school students attending three middle schools located in G district. The collected data were analyzed using descriptive statistics, t-test, Pearson's correlation, and multiple regression. As a result of the study, significant influencing factors on the subject's mental health were living with both parents (β=.12, t=2.50, p =.013), past subjective mental health status (β=.15, t=2.83, p=.005), subjective physical health status (β=-.21, t=-3.94, p<.001), loneliness (β=.22, t=4.23, p<.001), and severity of insomnia (β=.36, t=6.55, p<.001), and these variables showed 46% explanatory power for mental health. Through this study, further research is needed to specify the causal relationship between living with both parents, past mental health status, physical health status, loneliness, and severity of insomnia and intervention strategies for the mental health of female middle school students considering these variables.

Factors Related to the Subjective Well-being and Depression Symptoms among Elderly in Rural Areas (일부 농촌지역 노인들의 주관적 행복감과 우울에 관련된 요인)

  • Cho, Kwang-Hee;Jeong, Yong-Jun;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.71-85
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    • 2003
  • Objectives: The present study was directed at revealing the influence of various life styles on the subjective well-being and depressive states, and their related factors among the elderly. Methods: The interviews were given to 454 elderly people aged over 65 (197 male and 257 female) in rural areas of Chungnam Province during the 3-month period from July 1st to Sep. 30th, 2002. The interview contents for the elderly included social demographic characteristics, activities of daily living(ADL) whether independent of others or not, subjective well-being, Zung's self-rating depression scale(SDS), etc. Results: The male elderly showed significantly higher scores in subjective well-being than the female, and with regard to Zung's depression scores, they were significantly higher in the female than the male elderly. Based on the correlation between scores of subjective well-being and its related factors, there was a significant, positive correlation in both sexes with whether or not participation in the social gatherings and the degree of satisfaction with subjective health status. The factors shown to be negatively correlated with depression scores in both sexes were whether or not participation in the social gatherings, the degree of satisfaction with the subjective health status, economic conditions, and ADL scores. The factors influencing on the subjective well-being included depressive states, eating habits, dwelling states, ADL scores, and physical activity. Those influencing on the depressive states were the degree of satisfaction with the subjective health status, physical activity, sexes, smoking, ADL scores, economic conditions, eating habits and whether or not participation in the social gatherings. Conclusions: Consequently, the subjective well-being as well as physical activity and economic conditions were shown to be the important factors for the healthy elderly life.

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The Sexual Health for the Elderly in the Characteristics and Factors: Based on the WHO Sexual Health (WHO 성 건강에 근거한 노인 성 건강 특성과 영향요인)

  • Ryu, JiHye;Kang, ChangHyun
    • 한국노년학
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    • v.41 no.1
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    • pp.69-83
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    • 2021
  • The purpose of this study is to identify the characteristics and factors of each area by considering the gender health of the elderly as the integration of mental, physical, emotional, and social gender health based on the WHO gender health. The sexual health of the elderly is significantly different by gender, academic background, and region, and there is a clear difference in mental, physical, emotional sexual health and social sexual health. The mental, physical and emotional sexual health of the elderly in urban areas, those with high education and male is high, but the elderly in the rural areas, those with low education, and female are high in social sexual health. The factors affecting sexual health are as follows. Mental sexual health was positively influenced by satisfaction of sexual life and sexual knowledge. Physical sexual health was positively influenced by life and spouse satisfaction, and emotional sexual health was positively influenced by sexual relationship, spouse satisfaction, sexual life satisfaction and sexual knowledge. Social sexual health has a negative (-) effect on spouse satisfaction and sexual relationships. Integrated sexual health in old age can affect subjective health and quality of life, leading to successful aging. Sexual health education is needed to form a safe and healthy sexual life and interpersonal relationship. The 'sex' that appears as a cumulative trajectory of life should be accompanied by the accurate sexual health awareness and sex education that encompasses all generations. Therefore, in the composition of sex health education program, it is necessary to reflect the components that can enhance the sensitivity of adulthood to strengthen understanding and communication of spouse.