• Journal of Korean Academy of Fundamentals of Nursing
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• v.18 no.4
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• pp.529-537
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• 2011

Purpose: This study was done to identify the relationship of perceived health status, depression, meaning of life, and family function and to ego integrity, and to investigate the main factors influencing ego-integrity in community dwelling elders. Method: The research design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 157 community dwelling elders located in 3 cities, Seoul, Seosan and Gyungju. Data analysis was done using SPSS 15.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences between ego-integrity according to gender, religion, economic level and amount of spending money. Ego-integrity had significant positive correlations with perceived health status, meaning of life, family function and a negative correlations with depression. The major factors that affect ego-integrity in community dwelling elders were self-awareness and acceptance, contentedness with past and present, gender and family function, which explained 62.7% of ego-integrity. Conclusion: Findings from this study provide a comprehensive understanding of ego-integrity and related factors for community dwelling elders.

• The Journal of the Korea Contents Association
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• v.16 no.4
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• pp.582-593
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• 2016

The purpose of this study was to identify predictive factors of successful aging and to determine mediating effect of transcendence between successful aging and influencing factors of community-dwelling elders in Korea. 162 elders were participated in this study who visited seniors welfare center and senior citizen center. Data were analyzed by PASW 18.0 for t-test, Pearson's correlation coefficients and hierarchical regression analysis. Transcendence, parent-child relationship, depression, spirituality and perceived economic status were statistically significant influencing factors, explained 77% of successful aging in community-dwelling elderly. The mediating role of transcendence was identified about parent-child relationship, depression, spirituality and perceived economic condition. The study findings demonstrated that transcendence was significant variable affecting successful aging. The variables affecting successful aging such as transcendence, parent-child relationship, depression, spirituality, perceived economic status can be utilized for nursing strategies to successful aging in community-dwelling elders.

• Physical Therapy Rehabilitation Science
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• v.12 no.2
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• pp.192-200
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• 2023

Objective: This study aimed to assess the effectiveness of a balance training program in improving balance and functional independence to reduce fall risks among community-dwelling elders. Design: A multi-center randomized controlled trial Methods: A total of 66participants were randomly assigned to a balance training group or a control group. The balance training program, conducted three times a week for 32 weeks, included warm-up exercises, main balance training exercises, and cooldown stretch exercises. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), and Modified Barthel Index (MBI). Results: The balance training group demonstrated significant improvements in all outcome measures, indicating enhanced balance, improved functional mobility, and increased independence in activities of daily living. In contrast, the control group showed only slight improvements in BBS, TUGT and MBI scores. Conclusions: These findings provide evidence supporting the effectiveness of balance training programs in reducing fall risk and promoting health and wellbeing among community-dwelling elders. Future research should aim to refine the design of these programs and assess the sustainability of the observed improvements.

• Journal of Korean Academy of Rural Health Nursing
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• v.12 no.1
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• pp.3-11
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• 2017

Purpose: This study was done to investigate the status of drug misuse and abuse in community-dwelling elders. Methods: The participants in this study were elders who were 65 years or over, and lived in ChungNam province. Descriptive statistics were used to analyze the data. Results: All of the participants reported taking both prescription and non-prescription drugs, and 78.4% used two or more kinds of drugs. Of the elders, 74.5% reported that they did not receive any education about drug misuse and abuse. The mean score for behaviors related to drug misuse was 8.76. Conclusions: Results indicate that many elders take medicine frequently, but they do not have any knowledge about drugs and possible side effects. This lack of knowledge might mean that they continue to use and misuse prescription and non-prescription drugs. It is important that elders be provided with precise information about medicines.

• Journal of Korean Academy of Rural Health Nursing
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• v.7 no.2
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• pp.41-50
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• 2012

Purpose: This study was done to identify differences in factors influencing cognitive function according to the cognition of community dwelling elders. Methods: A convenience sample of 565 community dwelling elders participated in this study and from May to June, 2010 trained research assistants collected data using structured questionnaires. Collected data were analyzed using descriptive statistics, t-test, one-way ANOVA, correlation, and multiple regression with the SPSS Win 15.0 version. Results: The elders had a slightly low degree of cognitive function. Of the 565 elders, 41.1% were in the normal group for cognitive function and 58.9% in the mild impairment group. Although there were no significant differences in general characteristics between the groups, factors influencing cognitive function were different. Factors influencing elders in the normal group were leisure activity and moderately good health status. These variables accounted for 5.7% of the variance in cognitive function. Factors influencing elders in the mild impairment group were leisure activity, depression, and education level limited to elementary school graduation. These variables accounted for 19.9% of the variance cognitive function. Conclusion: This study provides comprehensive understanding of factors influencing cognitive function in elders. Differentiated nursing interventions according to degree of cognitive function are suggested.

• Journal of Korean Academy of Nursing
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• v.42 no.6
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• pp.810-818
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• 2012

Purpose: This study was done to explore factors relating to number of falls among community-dwelling elders, based on gender. Methods: Participants were 403 older community dwellers (male=206, female=197) aged 60 or above. In this study, 8 variables were identified as predictive factors that can result in an elderly person falling and as such, supports previous studies. The 8 variables were categorized as, exogenous variables; perceived health status, somatization, depression, physical performance, and cognitive state, and endogenous variables; fear of falling, ADL & IADL and frequency of falls. Results: For men, ability to perform ADL & IADL (${\beta}_{32}$=1.84, p<.001) accounted for 16% of the variance in the number of falls. For women, fear of falling (${\beta}_{31}$=0.14, p<.05) and ability to perform ADL & IADL (${\beta}_{32}$=1.01, p<.001) significantly contributed to the number of falls, accounting for 15% of the variance in the number of falls. Conclusion: The findings from this study confirm the gender-based fall prediction model as comprehensive in relation to community-dwelling elders. The fall prediction model can effectively contribute to future studies in developing fall prediction and intervention programs.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.489-501
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• 2010

Purpose: The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly. Methods: The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12. Results: There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%. Conclusion: Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.

• Korean Journal of Adult Nursing
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• v.23 no.4
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• pp.351-362
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• 2011

Purpose: This study was designed to examine fear of falling, depression, physical fitness, and physical activity and further to identify the factors that predict physical activity among community dwelling elders. Methods: This study was a cross-sectional descriptive survey. Participants were 153 community dwelling elders from G city. Data were collected using structured questionnaires and were analyzed using descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, and multinominal logistic regression analysis. Results: Activity levers were coded as inactive, minimal activity and enhancing physical active. Thirty-three point three percent reported inactivity, forty-seven point seven percent reported minimal activity and nineteen percent reported health enhancing physical activity. There were significant differences in physical activity relative to gender, age, falling experience, perceived health, and living situation. Further, there was significant difference in fear of falling, depression, and physical fitness by physical activity. For instance, Fear of falling (OR=1.04, p=.014) was a significant predicting factor for physical activity, In contrast for the enhancing physical active the variables of gender (OR=0.28, p=.046), age (OR=0.86, p=.021), perceived health (fair: OR=13.61, p=.006), fear of falling (OR=1.04, p=.026), and two-minute step (OR=1.04, p=.049) were significant. Conclusion: The results of this study indicate that physical activity intervention programs are needed to increase physical activity for community dwelling elders. Physical activity intervention programs should be developed and evaluated.

• Journal of Korean Academy of Rural Health Nursing
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• v.6 no.1
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• pp.5-14
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• 2011

Purpose: The primary goal of this study was to develop a case management with exercise program for community dwelling elders who live alone, and examine the effects of the program. Method: The design of this research was a one group pre-post test study. The participations were 85 elders diagnosed with hypertension and diabetes mellitus and who lived alone as residents of D city. The case management with exercise program included exercise and counseling as the intervention and was provided for 12 weeks. Data were collected before and after the intervention which lasted from September 3 to November 26, 2009. Collected data were analyzed using descriptive statistics, and paired t-test. Results: There were significant differences in blood pressure (t=-5.24, p<.001, t=-1.94, p= .040), fasting blood sugar (t=-4.41, p<.001), ADL (t=-5.43, p=.022) and cognitive function (t=7.41, p=.008) between pre- and post intervention. Conclusion: These results indicate that the case management program is an important intervention for health promotion for community-dwelling elders, and exercise improves functional status of older persons with diseases. Therefore, now is the time to develop new supportive community-based programs for elders who live alone. However, it is also necessary to do further longitudinal studies to confirm the results of this study.

• Journal of Korean Academy of Nursing
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• v.43 no.6
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• pp.791-800
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• 2013

Purpose: This study was done to test a structural equation modeling of case management outcomes in order to identify parameters affecting case management outcomes for the community-dwelling vulnerable elders. Methods: Data were collected from 309 nurses (case managers) and community-dwelling vulnerable elders (clients) from public health centers. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and covariance structure analysis were performed using SPSS Version 18.0 for Windows and Amos 16.0. Results: The hypothetical model had an acceptable fit: GFI=.97, CFI=.95, RMSEA=.02, SRMR=.05. The factor "case managers' singularity" had the greatest impact on case management outcomes in this model. In addition, the factor "case management practice" influenced case management outcomes; however, client characteristics did not. Case managers' singularity affected case management outcomes directly and indirectly, with case management practice mediating the latter effect. Conclusion: These results suggest that the causal relationship between case management outcomes and factors influencing these outcomes should be clarified through longitudinal research including a variety of client characteristics. In addition, in future studies, analysis of the effects of programs to improve manpower quality and examine the relationships among case management outcomes should be done.