• Research in Community and Public Health Nursing
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• v.24 no.3
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• pp.368-376
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• 2013

Purpose: The purpose of this study was to identify the current urinary incontinence states in women above middle age dwelling in rural areas and their coping with the problems. Methods: The participants were 261 women above middle age. Data were collected from February to May, 2012 using a structured questionnaire. The data were analyzed with the SPSS/WIN 20 program. Results: The frequency of urinary incontinence in women above middle age was 45.4%. There were significant differences in urinary incontinence due to age, education, job status, frequency of delivery, and menstrual status. And, there were significant relations among urinary symptoms, difficulty of ADL, incontinence stress and depression. Frequently used coping-methods with urinary incontinence were washing frequently in order to avoid awful smell, paying attention to perineal cleaning, and going to restroom frequently. Conclusion: Community nurses who are in charge of primary health care ought to assess urinary incontinence and develop a urinary incontinence program that includes psychological and social factors.

• Journal of Community Nutrition
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• v.2 no.2
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• pp.135-140
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• 2000

The objectives of this study were to determine whether older Americans would provide valid energy intake information using a 24-hr recall method and to determine which characteristics were predictive of under-report of energy intake. We conducted 24-hour recalls on 83 male and 105 female community-dwelling older adults(66-87y) in the USA to assess energy(EI) and nutrient intakes. Basal metabolic rate(BMR) was calculated from age-and gender-specific equations of Schofield. Under-reporting was defined a priori as EI : BMR<0.9. Subjects volunteered demographic information, underwent depression and cognition exams, and completed a Level II Nutrition Risk Screen. Differences between under- and adequate-reporters were assessed using t-tests for characteristics and macro-nutrient profile. Stepwise regression analyses were used to predict under-reporting status. Under-reporting of EI occurred in 34% of the sample. Neither geriatric depression scale(GDS) score, nor self-reported weight loss were related to under-reporting. On average, under-reporters had higher body mass indices. The most significant variables for the main effect to predict the ratio of energy intake to estimated basal metabolic rate(EI : BMRest) were BMI and age. Using a standard cut-off of 76% of the recommended dietary allowances for Americans, under-reporters were consistently more likely to be classified as having inadequate nutrient, as well as energy, intakes. (J Community 2(2) 135∼140, 2000)

• Journal of Korean Public Health Nursing
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• v.36 no.3
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• pp.389-401
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• 2022

Purpose: This study was conducted to understand the actual condition and influencing factors of being underweight among older adults in the community based on a survey of national older Korean's data in 2020. Methods: The data from 9,555 older adults in the community were used for analysis. Composite sample analysis was performed with integrated weights applied to the raw data. A Rao Scott-test and logistic regression were performed using SPSS 24.0 for Windows. Results: Underweight older adults in the community were found to have significant differences in age, subjective health status, depression, chronic disease, drinking, exercise, nutrition, chewing, and activities of daily living (ADL). The factors affecting the underweight older adults were age, subjective health status, depression, chronic disease, drinking, exercise, nutrition, chewing, and activities of daily living. Conclusion: A customized program is needed for underweight older adults in the community. In addition, attempts should be made to motivate older adults in the community to continue to participate in the program.

• 한국노년학
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• v.32 no.3
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• pp.819-834
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• 2012

The purpose of this study was to examine the degree of successful aging and to investigate influencing factors of it in elderly to types of gender. Subjects were 73 male elderly and 77 female elderly, total 150 elderly living at K city in C province, from May to June, 2012. The data were analyzed using the SPSS Win 18.0 program for $X^2$ test, t-test, Pearson's correlation coefficients and multiple regression analysis. The correlated factors of successful aging among male elders included life satisfaction(r=.525, p<.001), family support(r=.355, p=.004), depression(r=-.555, p<.001) and loneliness(r=-.437, p<.001). Those of successful aging among female elders included life satisfaction(r=.607, p<.001), leisure satisfaction(r=.679, p<.001), family support(r=.784, p<.001), depression(r=-.516, p<.001), loneliness(r=-.644, p<.001) and self-transcendence(r=.576, p<.001). Life satisfaction and depression were statistically significant influencing factors of successful aging in male elders. Especially in the cases of female elders, life satisfaction, depression, family support and self-transcendence affected to successful aging. Life satisfaction, depression, family support, and self-transcendence were explained 52.9% in perception of successful aging among elders. This study suggests that life satisfaction, depression, family support, and self-transcendence will be considered in enhancing the successful aging promoting care and welfare designed for types of gender.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.742-751
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• 2020

The purpose of this study was to examine the relationship between depression, perceived health status, and health promotion behavior of frail elderly. The subjects were 164 frail elders aged over 65 registered with the home visiting services of two welfare centers in D city. Data was collected using structured questionnaires from January 2 to February 21, 2020. Data was analyzed using the t-test, ANOVA, Scheffe test, Pearson's correlation coefficients and stepwise multiple regression with the SPSS/WIN 23.0 program. The mean depression score was 10.67, perceived health status was 6.71, health promotion behavior score was 2.59. Health promotion behavior and depression were negatively correlated and perceived health status was positively correlated. Factors influencing health promotion behavior were age, education level, and depression. These variables accounted for 73.6% of health-promoting behaviors. Based on these results, we conclude that it is important to continue health promotion for the frail elderly through various programs including interventions for depression to prevent the elderly from progressing to disability.

• 한국노년학
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• v.34 no.2
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• pp.247-258
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• 2014

The aim of this study was to investigate the influence of resilience and depression on suicidal ideation in elderly. The survey was conducted by 335 subjects (aged 65 to 70 years old; both gender) living in Daegu and Gyeongbuk district. Data were collected through interview-based questionnaires which were constructed to include the general characteristics(8 items), suicidal ideation(19 items), depression(15 items), and resilience(27 items). Collected data were analyzed by frequency, t-test, one-way ANOVA, and regression analysis. The present results showed that the main general factors affecting the resilience of elderly were age, the type of dwelling, pin money, and health. The influencing factors on suicidal ideation were health status, depression level, and the resilience in elderly. In particular, the suicidal ideation was more affected by self-regulation and affirmation of the subcategory in resilience. In conclusion, the resilience and depression is need to be considered as one of the main factors for decreasing the suicidal ideation in elderly.

• Research in Community and Public Health Nursing
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• v.22 no.3
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• pp.290-301
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• 2011

Purpose: This study is a descriptive research intended to clarify the medication status of community-dwelling elders and to identify factors affecting their medication adherence. Methods: Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul. Results: According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self-reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=-.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035). Conclusion: The presence of depression affected the elderly subjects' the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long-lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.

• The Journal of the Korea Contents Association
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• v.11 no.7
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• pp.406-417
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• 2011

The purpose of this paper is to examine the effects of computer/internet game play on depression and life satisfaction via perceived self-control among older adults in Korea. Data were collected from a survey of 237 community-dwelling older adults (age${\geq}$65) who reported internet users. A path analysis was used to examine the causal relationship among the main constructs. Results showed that the computer/internet game play had positive effects on perceived self-control. Perceived self-control was found to decrease depression and improve life satisfaction among older adults. Additional analysis indicated that the computer/internet game play in older adults did not directly affect mental health (depression and life satisfaction) but indirectly affected it via perceived self-control. Furthermore, perceived self-control had greater effects on depression than on life satisfaction. These findings have crucial implications in that perceived sense of self-control needs to be seriously considered when we develop mental health games for older adults.

• Journal of Korean Biological Nursing Science
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• v.19 no.3
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• pp.191-197
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• 2017

Purpose: The aim of this study was to determine the effectiveness of a community-based muscle and joint self-management program with muscle stretching and muscle strengthening exercises for community-dwelling older adults. Methods: The study was a pre-and-post design in a single group, which examined the effects after the intervention of muscle and joint self-management program for 6 weeks, on the 42 subjects of the elderly who registered in a Community Senior Center in J city. Data analyses were conducted with paired t-test by using a SAS (version 9.2 for Windows) program. Results: The effectiveness of muscle and joint self-management program on shoulder flexibility and right knee extension (flexibility) were significantly improved (t= 2.72, p= .010; t= -2.26, p= .029). Joint symptoms (pain, stiffness), physical functioning, depression, fatigue, and left knee extension were not significantly improved after the muscle and joint self-management program. Conclusion: The results showed the possibility of this 6-week exercise program in improving shoulder and knee flexibility for community-dwelling older adults.

• The Journal of the Korea Contents Association
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• v.18 no.2
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• pp.113-123
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• 2018

This study was conducted to construct and test a structural equation model of instrumental activities of daily living(IADL) in community-dwelling elderly. The model was based on ICF(International Classification of Functioning, Disability and Health) model. The participants were 260 elderly who were more than 65 years old. Physical and psychological function, visual-motor integration and social activities had direct effects on IADL. That is, the better the subjective health status, the lower the depression and the less chronic illness, the better IADL. Personal factor, social support and social activities had indirect effect on IADL. This model explained 32% of the variance in IADL.