• Women's Health Nursing
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• v.13 no.4
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• pp.290-298
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• 2007

Purpose: This study was to measure the quality of life(QOL) and to identify the related factors in gynecological cancer patients during chemotherapy. Method: The subjects of this study were the patients who had undergone a hysterectomy and were admitted for chemotherapy at S university hospital between November 2006 and April 2007. Data was collected from 106 gynecological cancer patients with the use of a structured questionnaire which measured the QOL(FACT-G), body image, the presence of anxiety & depression, uncertainty, and family support. The data was analyzed by the SPSS win 12.0 program. Results: The mean FACT-total score was 62.1$({\pm}16.7)$ (range; 26-107). Positive correlations were found between QOL and body image(r= .67, p= .00), and QOL and family support(r= .32, p= .00), whereas there were negative correlations between QOL and anxiety(r= -.54, p= .00), QOL and depression(r= -.70, p= .00), and QOL and uncertainty(r= -.59, p= .00). Fifty seven pre cent of the variance in subjective overall QOL can be explained by depression, body image, and uncertainty(Adj $R^2$= .57, F=47.00, p= .00). Conclusion: Our patients had a relatively low QOL score. Factors significantly affecting quality of life were depression, body image and uncertainty. Nursing interventions, therefore, should be focused on improving QOL in gynecological cancer patients during chemotherapy, particularly so in patients with depression, uncertainty or poor body image.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.2
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• pp.119-146
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• 2012

Objectives: The purposes of this study were to investigate the life satisfaction, obesity, depression, self esteem, body image of adolescents by their demographic characteristics, to analyze factors impacting on life satisfaction, and to provide basic data to intervention programs for bright and healthy development. Methods: The data in this study came from the Korea Youth Survey Data collected through questionnaires from 10,156 students. To investigate the causal relationship between each variable presented in the research model, descriptive statistics, t-test, ANOVA, Scheffe's test, correlation analysis, hierarchical regression analysis were carried out by using SPSS Ver. 18.0. Results: The most impacting factor on adolescents' life satisfaction were the self-esteem and depression, followed by the economic level, regular exercise, and regular eating. In conclusion, the strongest factors that influenced adolescents' life satisfaction were self-esteem and depression. Also we found that regular eating, regular exercise, and adequate sleep were the important causes of raising adolescents' life satisfaction. Conclusions: In order to enhance the adolescents' life satisfaction, we should make an effort to increase self-esteem, to prevent obesity, and to reduce depression through regular exercise and eating, adequate sleep. Therefore, it is important to recognize the importance of regular exercise and eating through health education. In addition, it is needed desperately to develop sleeping education program and to efforts to ensure sleeping right of adolescents.

• Journal of Korean Academy of Nursing
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• v.36 no.5
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• pp.829-836
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• 2006

Purpose: The purpose of the present study was to identify prevalence of excessive daytime sleepiness(EDS) and its associations with sleep habits, sleep problems, depression, subjective health status and obesity in community dwelling adults. Method: Data was collected from adults aged 20-59 years by random sampling. Subjects completed a questionnaire which was composed of the Epworth Sleepiness Scale, Center for Epidemiologic Studies Depression Scale, and questions that included items about sleep habits, sleep problems, subjective health status and sociodemographic characteristics. Height and weight were measured for calculation of body mass index. The statistical analyses was based on 3,302 adults (51.5% males and 48.5% females). Descriptive statistics, univariate logistic regression and multiple logistic regression were used. Result: The prevalence of EDS was 17.1% Multiple logistic regression showed that the associated factors of EDS were depression, obesity, dissatisfaction with sleep time, irregular sleep, and habitual snoring. Depression was the most significant associated factor(adjusted odds ratio for severe depression=2.27, 95% Confidence Interval=1.73-2.96). Conclusion: EDS is a common symptom in adults. Our finding suggested that persons with a complaint of EDS should be completely assessed for depression and obesity as well as sleep problems.

• Korean Journal of Adult Nursing
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• v.19 no.4
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• pp.535-546
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• 2007

Purpose: This study was conducted to evaluate life satisfaction(LS) and to assess the factors that influence LS in senior center elderly people. Methods: The subjects were 253 elders who visited the Y city Senior Welfare Center between July 2006 and August 2006. Data were collected using structured questionnaires. The instruments were composed of Kang's Family Support Scale, Depression Scale by Sheikh & Yesavage, Laffery's Health Concept Scale, and LS scale by Choi. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program. Results: The LS level showed a maximum score of 38 with a mean score of 23.23. The mean scores for depression, health perception and family support were 5.52(maximum score, 15), 77.46(maximum score, 112), 43.45(maximum score, 55) respectively. The LS were significantly correlated with health perception, depression and family support. Depression was the most powerful predictor of and it accounted for 42.0% of the total variance in LS. A combination of significance of eudaimonistic health perception and satisfaction with pocket money accounted for 47.2% in LS. Conclusion: Depression and health perception were identified as affecting variables for the LS. Based upon these results, nurses should help the aged to enhance their LS.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.115-132
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• 2017

Objectives : The purpose of this study was to investigate the depressive change and predictors of chronic illnesses and to examine whether depressive change predictors are different according to chronic disease types. Methods : Data from the 1st to the 10th year of the Korean Welfare Panel of 5,023 adults over 20 years of age who were treated for chronic diseases for more than three months were examined. We assessed demographic, sociological, and socioeconomic factors including depression predictors of chronically ill patients, and analyzed the data using latent growth modeling and multiple group analysis. Results : Depression symptoms of chronically ill patients gradually decreased, showing a linear relationship across time. In addition, multiple group analysis was performed for each type of chronic disease. Conclusions : We described the phenomenon of depression in chronically ill patients, and discussed the practical and policy interventions required to improve depression in chronically ill patients.

• Journal of Korean Public Health Nursing
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• v.31 no.3
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• pp.492-504
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• 2017

Purpose: This study aims to investigate the effect of employment of elderly over 65 years on elderly depression using the "Nation Elderly Survey 2014". Methods: The subjects were 10,451 elderly aged 65 or older who were selected from 16 cities and provinces via multilevel stratified sampling method. In an effort to represent well the nation's elderly population, composite sample analysis method was used for the study, and a hierarchical logistic regression analysis was performed to identify those factors affecting the depression among the elderly population. Results: The factors affecting the depression were education level, household income, Perceived health status, smoking, drinking, physical activity, body mass index and employment status. It was found that the unemployed persons were 1.68 times more likely to be depressed than those who remain employed. Conclusion: Where the average life expectancy is getting longer and the poverty rate of elderly is high, employment activities of the elderly are of great significance in terms of ensuring economic stability as well as in lowering medical expenses through reduction of depression. Therefore, it is necessary to increase the employment rates of the elderly for economic, social and healthcare perspectives.

• The Korean Journal of Health Service Management
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• v.9 no.4
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• pp.145-155
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• 2015

Objectives : The purpose of this study was to test the influencing effects of health perception and family support on depression in elderly patients. Methods : Two-hundred forty-nine hospitalized geriatric patients were recruited in B city, South Korea. They were asked to complete a questionnaire, and 214 data sets were included in multiple regression analysis. Results : Subjects perceived a higher level of depression. Influencing factors of depression were hospitalization experience (t=3.476, p=.001), health perception (t=-3.310, p=.001), education (t=2.684, p=.008), economic satisfaction (t=2.579, p=.011), satisfaction with allowance (t=2.262, p=.025), and family support (t=-2.200, p=.029). The model was statistically significant explaining 36.3% of the variance (F=21.257, p<.001). Conclusions : In dealing with depression, nurses in elderly care facilities should be more concerned about patients with hospitalization experiences. Interventions to improve health perception should be provided to elderly patients, and educational programs on how to support patients are needed for the families of patients.

• Korean Journal of Social Welfare
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• v.64 no.4
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• pp.285-310
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• 2012

This study examined the causal relationship of between stressors and depression using the wave 1~4 of Korean Welfare Panel Study by social stress theory. According to the result, the level of depression and depressed group was decreased in the course of time. As a panel regression analysis, Factors affecting the reduction of depression was upward of the income hierarchy, increase the satisfaction of family and social relationships, and residential satisfaction. Based on the results, the author suggested that social work policies and intervention direction should decrease social stress factors with causality to depression of the men in baby boom generation.

• Research in Community and Public Health Nursing
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• v.20 no.1
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• pp.12-22
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• 2009

Purpose: This study was done to investigate factors associated with depression and quality of life (QoL) among the community-dwelling elderly. Methods: This study used a descriptive correlational research design. The subjects were 730 elders aged over 65 living in D district of Daegu. Data were collected using questionnaires for 30 days in April, 2007. The research instruments utilized in this study were a physical function scale of long-term care insurance system, Geriatric Depression Scale Short Form Korea Version (GDSSF-K), and Korean Quality of Life Scale (KoQoLs). The collected data were analyzed by descriptive statistics, t-test, ANOVA, Duncan, stepwise multiple regression, and Spearman correlation. Results: The mean age of the subjects was 72.6, and 68.8% and 57.9% of subjects were, respectively, female and living alone. 12.3% of variance in depression was explained by age, education, economic status, subjective health, alcohol consumption, condition of teeth, and fall experience. 18.2% of variance in QoL was explained by economic status, number of diseases, condition of teeth, incontinence, paralysis, and IADL. Economic status and condition of teeth were contributing factors to depression and QoL of the elderly. Conclusion: Findings of this study may be useful in understanding the health status of the community-dwelling elderly and developing more regionally specific health promotion strategies.

• Journal of Korean Academy of Rural Health Nursing
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• v.7 no.1
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• pp.19-27
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• 2012

Purpose: This study was done to examine the relationship of successful aging, depression, and family function in rural elders. Method: A descriptive correlation study design was used and data of the study were collected from 272 people who were overn 65 years of age and lived in a rural community. Result: The mean score for successful aging was $2.28{\pm}0.46$ points of a maximum 3 points. The elders showed a moderate degree of family function ($6.98{\pm}2.83$ points out of 10 points). The mean score for depression was $6.13{\pm}3.75$ points out of 15 points. There was a statistically significant correlation between successful aging and both depression (r=-.659, p<.001) and family function (r=.621, p<.001). Stepwise regression analysis was done to verify factors influencing successful aging. Depression was the dominant factor accounting for 43.2% of the total variance, followed by family function and age in that order. Inclusion of all of the study values resulted in an explanation power of 61.7%. Conclusion: The study results suggest that the provision of individual socio-psychological, and economic measures is important to promote successful aging in rural areas which are different in terms of socio-cultural as well as regional factors compared to urban areas.