• Title/Summary/Keyword: Depression support program

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A Community-Based Integrated Preventive Program of Depression and Its Effectiveness in Caring for Vulnerable Elderly (취약계층 노인의 우울예방을 위한 지역사회기반의 통합프로그램 개발 및 효과검증)

  • Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.14 no.2
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    • pp.287-298
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    • 2003
  • The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

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Change of the Depression according to the Elapsing Time in Stroke Patients (뇌졸중 대상자의 경과시간에 따른 우울의 변화)

  • Song, In-Ja;Lee, Sang-Kwan
    • Journal of Haehwa Medicine
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    • v.23 no.1
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    • pp.125-135
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    • 2014
  • Objectives : The purpose of this study is to detect the change of pattern according to phase and to identify the associated factors with depression in stroke patients. Methods : The study was designed as a longitudinal study. Data was collected from 90 subjects, who were diagnosed with stroke using a brain MRI. The instruments included rehabilitation will, social support, FIM(Functional Independence Measure), NIHSS(National Institute of Health Stroke Scale), and BDI(Beck Depression Index). The collected data were analyzed using by SPSS 19.0 program package. Results : There were significant differences of depression pattern among the three phases. The most depression associated factor was the level of FIM. Conclusion : These results will support strategies for intervention to improve depression of stroke patients. Most affecting factors should be considered for depression intervention.

Factors Influencing Depression in Elderly People Living at Home (재가노인의 우울 영향 요인에 관한 연구)

  • Moon, Myeong-Ja
    • Journal of Korean Academy of Nursing
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    • v.40 no.4
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    • pp.542-550
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    • 2010
  • Purpose: This study was done to identify the factors which influence depression for elderly people who live at home. Methods: The participants were 134 elderly people living at home in M city. Data were collected from April 2 to 30, 2009 and analyzed using SPSS/WIN 12.0 and AMOS 5.0 program. I assumed path coefficients by doing path analysis to understand synthetically causal relationship which influences on depression. Results: Social support, sleep pattern and self esteem had significant direct effects on life satisfaction and accounted for 50% of the total variance in life satisfaction. Physical symptoms, sleep pattern and life satisfaction also had significant direct effects on depression and accounted for 59% of the variance in depression. But social support, self assertiveness and self esteem were not significant for depression. Conclusion: These results provide guidance for designing useful strategies to reduce depression in elderly people living at home.

Factors Influencing Depression Among Patients with Chronic Degenerative Arthritis after Total Knee Arthroplasty (인공슬관절 전치환술을 받은 만성 퇴행성관절염 환자의 우울 영향요인)

  • Ju, Yeong-Ju;Kim, Hee-Kyung
    • Journal of muscle and joint health
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    • v.19 no.2
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    • pp.161-172
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    • 2012
  • Purpose: This study was to identify the factors influencing depression among patients with degenerative arthritis after total knee arthroplasty. Methods: The subjects were 108 patients who admitted or visited K hospital in K city after total knee arthroplasty. Data were analyzed using SPSS WIN 18.0 program. Results: The level of depression was 2.72 with a possible range of 1 to 5. Social support was 3.71 out of a total score 5. Self-efficacy was 64.47 ranged from 10 to 100. Self-esteem was 2.59 ranged from 1 to 5. The associated factors with depression were marital status, length of illness, perceived health status, pain, social support, self-efficacy, and self-esteem. Marital status, length of illness, and perceived health status accounted for 5.8% of depression. Next, all variables including pain, social support, self-efficacy and self-esteem accounted for 66.4% of depression. Conclusion: The level of depression among the subjects significantly be related to marital status, length of illness, perceived health status, pain, social support, self-efficacy and self-esteem. It indicates a need to develop nursing interventions for them to decrease depression and develop quality of life during recovery.

Impacts of Social Support and Acculturative Stress on Depression among Korean Registered Nurses in the United States (재미한인간호사의 사회적 지지, 문화적응 스트레스가 우울에 미치는 영향)

  • Jung, Young-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.2
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    • pp.192-202
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    • 2014
  • Purpose: The purpose of this study was to identify the impacts of social support and acculturative stress on depression among Korean registered nurses in the United States. Method: In total, 137 nurses were recruited through direct interviews and online surveys. The data were collected through a structured questionnaire from June 1, to September 16, 2012, and analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$'s test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 14.0. Results: Social support significantly differed by the length of one's nursing career in US, monthly income and perceived health status. Acculturative stress significantly differed by the length of one's nursing career in US and types of employment setting. Depression significantly differed by the total length of one's nursing career, type of employment setting, and perceived health status. Moreover, Depression was negatively correlated with social support; positively correlated with acculturative stress; social support was negatively correlated with acculturative stress. Factors influencing depression were acculturative stress, perceived health status, and social support, which explained about 23% of the total variance. Conclusion: These results suggest that an adaptation program that decreases acculturative stress and improves social support should be developed and implemented for Korean nurses to help them successfully integrate into the healthcare system of new country.

Convergence Effects of Positive Psychological Capital and Social Support in Adolescents on Depression (청소년의 긍정심리자본과 사회적 지지가 우울에 미치는 융복합적 효과)

  • Jeong, Eun;Jung, Mi-Ra
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.365-373
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    • 2017
  • The purpose of this study was to examine relationships among positive psychological capital and social support on depression and identify the factors that influence on depression in the adolescents. The data were collected from 140 adolescents in the two middle school located J city using self-reported questionnaires and May 9 2017 to May 19 2017. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 20.0 program. Depression was found to be in a significant negative correlation with positive psychological capital and social support. The result of the stepwise multiple regression indicates the positive psychological capital, social support and economic status predict 22.4% (F=14.38, p<.001) of depression. Therefore, it is necessary to develop convergence positive psychological capital and social support strategy program for decrease and prevents depression in adolescents.

Factors Affecting of life stress in Middle-aged on Depression: -Mediating effect of Self-esteem and Social support- (중년 남성의 생활스트레스가 우울에 미치는 영향 -자아존중감, 사회적 지지의 매개효과-)

  • Song, Ji Hyeun;Seong, Mi Hyeon
    • Journal of Digital Convergence
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    • v.19 no.3
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    • pp.235-244
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    • 2021
  • This study was conducted to confirm the mediating effect of self-esteem and social support in the relationship between life stress and depression in middle-aged men. Data analysis was performed using the SPSS/WIN 25.0 program, t-test, ANOVA, pearson's correlation coefficient, SPSS Process Macro (Model 4), and bootstrapping approach. As a result of this study, when considering the effect of self-esteem, a parameter in the relationship between life stress and depression, the direct effect of life stress on depression was .49. Considering the effect of social support as a parameter, the direct effect of life stress on depression was .50. That is, when the parameters were not considered, life stress decreased compared to the overall effect of .62 on depression. Through this, it was confirmed that self-esteem and social support had a mediating effect in the relationship between life stress and depression.

Self-efficacy and Family Support as Predictors of Depression in Elderly Patients admitted to Hospital (급성기 노인 입원 환자의 자기효능감과 가족지지가 우울에 미치는 영향)

  • Park, Byung Nam;Park, Jin-Hee
    • Journal of Home Health Care Nursing
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    • v.21 no.1
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    • pp.52-59
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    • 2014
  • Purpose: The purpose of this study was to identify the prevalence and the predictors of depression in elderly patients admitted to hospital. Methods: A sample of 157 subjects aged 65 and over was selected from a university hospital in Korea. Data were collected through self-reported questionnaires during the period from April to August 2012. The data were analyzed using t-tests, ANOVAs, Pearson's correlation coefficients, and multiple regressions with the SPSS/Win program. Results: The prevalence of depression was 54.8%; the mean score for depression was 17.30. Depression in elderly patients had a significant correlation with age, educational level, marital status, and perceived economy level from the demographic characteristics, self-efficacy, and family support. A hierarchical multiple regression analysis revealed that a combination of self-efficacy and family support accounted for 27% of the depression in elderly patients. Conclusion: The findings of this study suggest that programs designed to effectively prevent and manage depression among elderly patients should consider variables such as self-efficacy and family support.

The Relationships among Social Support, Hope, Anxiety, and Depression in Patients Expecting to Receive Hematopoietic Stem Cell Transplantation (조혈모세포 이식 전 환자의 사회적 지지, 희망, 불안 및 우울의 관계)

  • Bae, Ka Ryeong;Kim, Sue
    • Korean Journal of Adult Nursing
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    • v.28 no.1
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    • pp.30-42
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    • 2016
  • Purpose: This study aimed to examine the relationships among social support(family support, medical team support), hope, anxiety, and depression in patients with hematologic cancers before they received hematopoietic stem cell transplantation (HSCT) to obtain baseline data for developing a nursing intervention. Methods: The participants were 70 adult patients expecting to receive HSCT from 5 university hospitals in Seoul, Gyeonggi-do, and Jeollanam-do regions. A cross-sectional survey was done using standardized instruments for social support (Tae's Family Support Scale and Professional Medical Support Scale), hope (Kim & Lee Hope Scale), anxiety and depression (Hospital Anxiety and Depression Scale). The data were analyzed by SPSS/WIN 19.0 program using frequency, percentage, item mean and standard deviation, t-test, ANOVA, and Pearson's correlation coefficient. Results: Hope was significantly correlated with social support (r=.40, p=.001), anxiety (r=-.40, p<.001) and depression (r=-.58, p<.001). Anxiety was correlated with depression (r=.54, p<.001). Conclusion: The findings of this study show greater social support for patients who expect to receive HSCT is significantly correlated to a higher level of hope, as well as low levels of anxiety and depression. In nursing practice, clinical nurses may develop a nursing intervention to reinforce social support and hope, as well as reduce anxiety and depression for patients preparing for HSCT.

A Structural Analysis of School-aged Children's Suicide Ideation and Related Variables (학령기 아동의 자살생각과 관련변인들 간의 관계 구조분석)

  • Park, Seon;Moon, Soo-Back
    • Journal of Families and Better Life
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    • v.30 no.2
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    • pp.75-86
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    • 2012
  • The purpose of this study was to investigate the structural relationships school-aged children and related variables. For this study, the respondents were 704 children in elementary schools in the areas of Gyeongsan-Si and Daegu-Si. The questionnaires and psychological tests used in this study surveyed the following concepts: suicide ideation, social support, self-esteem and the scale of depression. The collected data were analyzed with AMOS 19.0, a statistical program for structural equation modeling, to estimate the hypothesized structural equation model. The results were as follows: First, self-esteem, - and depression as perceived by children were found to affect their suicide ideation directly. Second, parental support and teacher support as perceived by children were found to affect children's depression directly. Third, parental support, teacher support, and the support of friend's as perceived by children were found to affect-children's self-esteem directly. Last, parental support and, teacher's support did not show direct effect on children's suicide ideation, though these factors had an indirect effect on suicide ideation through the children's self-esteem and depression. Finally, teacher's support did not direct effectly children's suicide ideation, whereas it had an having indirect effect on suicide ideation through the children's self-esteem.