Objectives: The aim of this study was to explore nursing students' attitudes towards sexually active elderly, and to compare their attitudes with those of non-nursing students. Methods: Study subjects consisted of 118 nursing students, and 134 non-nursing students, recruited from two universities. The data were collected from September to November 2001. Vignettes, which presented hypothetical situations of sexual activities of the elderly (65 years of age, 80 years of age/sexual activity mentioned. non-mentioned), were provided as a research method, as well as the use of a structured questionnaire. Vignettes showed the hypothetical situations by male elder's sexual activity and their age. Respondents were asked to address their thoughts in the questionnaire. Results: 1. Nursing students showed more favorable attitudes toward the elderly than non-nursing students, regardless of the presence of sexual activity of the elderly. 2. No significant difference was found in nursing students' attitudes toward the elderly aged 65 and 80 years, between those who were sexually active and those who were not. These results were the same in non-nursing students. 3. Nursing students showed more favorable attitudes toward the sexually active elders aged 65 years (5.6 1.43), than toward sexually active elders aged 80 years (4.89 1.55). This result was also the same in non-nursing students. 4. The variables significantly affecting attitudes toward the sexually active elderly in nursing students were familiarity with old persons (p=. 02), presence of living grandparents (p=. 05), and the experience of caring for old people (p=. 01). However, in non-nursing students, familiarity with old people was the only significant variable that affected their attitudes toward the sexually active elderly. 5. In nursing students, one variable to predict attitudes toward the sexually active elderly was the experience of caring for old people (p=. 03), accounting for 10% of the total variance. In non-nursing students, familiarity with old people was the only variable to attitudes toward the sexually active elderly (p=. 03), accounting for 3% of the variance for attitude. In both student groups, the variables that predicted attitudes toward the sexually active elderly included college major (p=. 03), school year (p=. 01), familiarity with old people (p=. 02), accounting for 12% of the variance for attitude by these variables. conclusion: Nursing students showed more favorable attitudes toward the sexual activity of elders 65 years of age or over, than non-nursing students. However, both the nursing and non-nursing students showed negative attitudes toward the elderly who were 80 years of age when compared with those 65 years of age. There should be a consideration in nursing education curriculums that university students may have negative attitudes towards sexual activity of the elderly over 80 years of age.
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, 2018. A total of 528 elders who had hearing impairment were included. Statistical analysis was performed using SPSS 25.0, χ2-test, t-test, correlation, and regression analysis to confirm the quality of life, and the influencing factors. There were significant differences in HRQOL according to gender, age, education, marital status, income, occupation, number of household members, tinnitus, number of comorbidities, smoking status, alcohol drinking status, subjective health status, regular exercise, restriction of activity, depressive mood and perceived stress. The results indicated that age, BMI and number of comorbidities had a significant negative association with HRQOL. In addition, marital status, number of comorbidities, body mass index, subjective health status, regular exercise, restriction of activity and perceived stress were predictors of life quality in elders with Hearing Impairment and the variable in the health-related quality of life was explained by 37.3%. In order to improve the HRQOL of elders with hearing impairment, multidisciplinary efforts and development of educational programs are required.
This study aimed to investigate factors affecting frailty by urinary incontinence groups among the vulnerable elderly woman in Korea. In this secondary analysis, data were collected from records for 3,251 elders registered in the Visiting Health Management program of Public Health Centers in 2012. body mass index, waist circumference, timed up & go, depression, self rated helath, walking exercise, flexibility exercise, strengh exercise and frailty were assessed. Data were analyzed using $x^2$-test, t-test, ANOVA, Pearson's correlation and stepwise regression to determine the associated factors of frailty by urinary incontinence. Depression, walking exercise, timed up & go and age were found to be factors significantly associated with frailty among the elders with incontinence(F=38.321, p<.001). Age, depression, walking exercise, self rated health and tined up & go were found to be factors associated with frailty in the elders without incontinence(F=265.666 p<.001). The findings show that frailty of elders and associated factors were different by urinary incontinence, and common factors affecting frailty were depression, walking exercise, timed up & go, age. Thus, these factors should be considered in the development of intervention program for care and prevention of frailty and program should be modified according to urinary incontinence.
Purpose: This study was conducted to compare the degree of depression between men and women and to identify factors influencing their depression. Methods: Participants in this cross-sectional descriptive study were 263 persons over 65 years old (men: 103, women: 160). Data were collected through face to face interviews using questionnaires and were done in two urban areas in 2010. Research instruments utilized in this study were SGDS, MMSE-K, SRH, FILE, sleep pattern scale, family and friend support scale, and social support scale. Multivariate regression analysis was performed to identify factors influencing depression in elders. Results: The proportions of participants with depression were significantly different between men and women (52.4% vs. 67.5%). Regression model for depression in elderly men significantly accounted for 54%; disease stress (32%), economic stress (10%), perceived health status (4%), and family support, educational level, age, and hypertension. Regression model for depression in elderly women significantly accounted for 47%; disease stress (25%), perceived social loneliness (8%), friend support (5%), family stress (4%), and sleep satisfaction, and family support. Conclusion: Results demonstrate that depression is an important health problem for elders, and show gender differences for factors influencing depression. These results could be used in the developing depression prevention programs.
The object of this study was to investigate the relation between variables that is related to the general characteristics, fear of falling and falls efficacy. Data were collected from a convenience sample of 105 elders. Fear of falling and falls efficacy are measured structured questionnaires each. This study analyzed by SAS program. There was a significant difference of fear of falling according to education level(p=.003), body mass index(p=.016). There was a significant difference of falls efficacy according to gender(p<.001), education level(p=.047), body mass index(p=.019), number of chronic disease(p=.021). Fear of falling and age(r=0.23, p=.018) had significant positive correlations in the elders. Falls efficacy and number of chronic disease(r=-0.26, p=.010) had significant negative correlations in the elders. Fear of falling and falls efficacy are mutually contradictious concept. Also, both are important for the health of elderly. This result can be used for the elderly care and development of the program for the improvement of the falling efficacy.
Purpose: This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries. Methods: A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels. Results: The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004). Conclusion: Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.
Purpose: The purpose of this study was to investigate the importance of nurses' caring behaviors and to identify influencing factors on nurses' caring behaviors for elders with dementia. Methods: Data were collected through questionnaires from 156 nurses in several demented elderly setting and analyzed by applying descriptive statistics, t-test, ANOVA, Scheffe-test, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 16.0. Results: The average score for importance of nurses' caring behaviors was 3.55 and the 'attentive to other's experience' factor was the highest level. The mean score of nursing professional value was 8.46 and job satisfaction, 3.86. Importance of nurses' caring behaviors had a significant positive correlation with nursing professional value, job satisfaction and nurse's age. Four significant variables influencing importance of nurses' caring behaviors were job satisfaction, nursing professional value, working area of nurses and cognition dysfunction of elderly. Conclusion: With the results of this study, importance of nurses' caring behaviors can be improved by intervening the factors affecting this importance. Based on the findings of this study, further nursing practice and research for nurses' caring the elders with dementia should be focused on job satisfaction, nursing professional value, working area of nurses and cognitive dysfunction of elderly.
Purpose: This study was conducted to identify the effects of a convergent web-based educational program on cognitive function, depression, and dementia prevention behavior among elders living in the community. Method: Participants were 16 elders over 65 years of age (8 in the experimental group and 8 in the control group). The educational program was given twice a week for 9 weeks. Results: Cognitive function and dementia prevention behavior improved in the experimental group. Cognitive function and dementia prevention behavior were reduced in the control group compared to the results of the pre-inspection; however, no statistically significant difference was found. As homogeneity test was not conducted previously for the assessment of depression, the assessment was conducted based on covariates, Although no significant difference found between the two groups, depression level did increase in the control group. Conclusion: Findings from this study indicate that the educational program prevented worsening of depression and was effective in reducing depression. For further assessment, it is necessary to conduct long-term research including a revision and supplementation of the contents and length of the program.
Purpose: Hypertension tends to increase after the age of 65. Proper hypertension management requires physical activities such as habitual activities and exercise. However. it is reported that many elders do not have regular physical activities. This study was to identify physical activity patterns and blood pressure according to physical activity in the elderly with hypertension. Methods: This study assessed physical activity frequency, amount, type during the latest one week, and blood pressure and BMI. The subjects were 53 elders aged over 65 years. Collected data were analyzed through descriptive statistics, $x^2-test$, and logistic regression analysis using SPSS 12.0. Results: It was found that most of the subjects had not been participating in regular physical activities. The most frequent physical activity patterns were walking and home activity at a low or moderate intensity. The elderly who met the normal hypertension and pre-hypertension criteria involved significantly more regular physical activities. Conclusion: This study suggested that regular participation in physical activities should be recommended for elders in order to optimize the state of their blood pressure.
The purpose of this study is to investigate the Expected factors on the quality of life and its degree of elders in urban regions. Survey was conducted among 300 elders age of over 65, who attended four schools for elders at Busan metropolitan city in the month of October 2 to October 25, 2012 and data were collected 245 samples. Data analysed by using correlation analysis and multi-regression analysis to recognize the degree of the quality of life of elders and the result showed the expected factors on the quality of life and its major were as follows: First, average score of the quality of life of urban elders was 3.17 (5 scores of scale) and it indicated the medium result; Second, between sub-areas of the quality of life of subjects, significant positive relation was shown among every area excluding depression area;Third, the factors mostly influencing on the quality of life are mental health, social relation, and physical relation in order and it showed a significant level (p<0.001). The study revealed the symptoms of depression which reltaed to mental health, it indicated as a major factor to the quality of life, this study suggest there is requirement of nursing intervention and the application of health program to reduce the depression.
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