• 한국산학기술학회논문지
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• 제15권11호
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• pp.6728-6738
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• 2014

본 연구는 노인요양시설 입소 노인의 통증, 우울 및 일상생활활동의 관계를 확인하고 통증의 영향요인을 파악하기 위하여 수행되었다. S시의 노인요양시설 4개소에서 2013년 1월부터 2월까지 구조화된 설문지를 이용하여 자료를 수집하였다. 자가보고 통증평가 도구인 NRS(numeric rating scale)와 행동관찰 통증평가 도구인 DS-DAT(discomfort scale-dementia of the Alzheimer's type)를 사용하여 통증을 측정하였고, GDSSF-K(Geriatric Depression Scale Short Form-Korea Version), BADL(Barthel activities of daily living)로 우울과 일상생활활동 수준을 측정하였다. 수집된 자료는 SPSS PC 20.0 program을 이용하여 Pearson's correlation coefficient, 위계적 다중회귀분석을 실시하였다. 연구결과는 NRS와 DS-DAT 모두 일상생활활동과는 음의 상관관계를 보였으며, 우울과는 양의 상관관계를 보였다. 회귀분석을 통하여 성별, 관절염, 우울, 일상생활활동이 NRS를 28.1% 설명하는 영향요인이었고, DS-DAT에서는 우울과 일상생활활동이 21.5%를 설명하는 영향요인으로 확인되었다. 이상의 결과를 바탕으로 노인요양시설 입소노인의 통증관리에 있어서 우울을 완화하고 일상생활활동 능력을 향상시킬 수 있는 프로그램의 개발과 적용이 요구된다.

• 한국노년학
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• 제32권3호
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• pp.941-954
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• 2012

본 연구의 목적은 일 도시지역 저소득 노인을 75세 미만의 전기노인과 75세 이상의 후기노인으로 구분하여 우울 유병율과 관련요인을 확인하는 것이다. 본 연구의 대상자는 60세 이상 국민기초생활보장 수급자로 434명의 전기노인과 206명의 후기노인이다. Yesavage등이 개발한 한국판 노인우울척도(Geriatric Depression Scale)로 측정한 우울의 유병율은 전기노인이 53.9%인데 비해 후기노인이 63.2%로 더 높았다. 로지스틱 회귀분석 결과 전기노인은 주거상태가 자가인 노인에 비해 월세인 노인에서, 자가평가 건강상태가 건강한 노인에 비해 건강하지 못한 노인에서, 규칙적인 여가활동을 하는 노인에 비해 규칙적인 여가활동을 하지 못하는 노인에서, 규칙적인 식습관을 가진 노인에 비해 규칙적인 식습관을 갖지 못하는 노인에서 우울 유병율이 높았다. 이에 비해 후기노인은 사회적 지지가 낮을수록, 자가평가 건강상태가 건강한 노인에 비해 보통이거나 건강하지 못한 노인에서, 규칙적인 여가활동을 하는 노인에 비해 하지 못하는 노인에서 우울 유병율이 높았다. 본 연구에서 국민기초생활보장 수급 노인을 대상으로 우울 유병율과 관련요인이 전기노인과 후기노인 간에 차이가 있다는 것을 확인하였다. 본 연구의 결과가 저소득 노인의 우울을 관리하는데 있어 전기노인과 후기노인의 차이에 따라 차별화된 전략을 개발하기 위한 근거가 될 것으로 본다.

• 대한간호학회지
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• 제35권2호
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• pp.336-343
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• 2005

Purpose: The purpose of this study was to investigate the effects of dependency and abuse on depression according to gender in widowed elderly. Method: A convenient sample consisted of 246 widowed elderly who were more than 65 years old in four cities. Data was collected using a structured questionnaire from August to September, 2002. A dependency Scale developed by Ahn (1999) was used to measure the level of dependency. Emotional abuse and physical abuse were measured by 10 items for emotional abuse and 7 items for physical abuse selected out of the Conditions Scale of Elder Abuse. The level of depression was measured by the Geriatric Depression Scale (GDS). The SPSS WIN 11.0 version program was used for data analysis. Result: In male widowed elderly, dependency affected depression indirectly through emotional abuse. While in female widowed elderly, dependency affected depression directly and affected emotional abuse indirectly. Conclusion: The study showed that dependency was the most explainable variable on depression in widowed female elderly. Therefore, it dependency should be assessed first in nursing intervention to relieve depression of widowed elderly.

• 대한간호학회지
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• 제38권1호
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• pp.1-10
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• 2008

Purpose: The purpose of this study was to examine cognitive functions, depression, and life satisfaction among the elderly receiving visiting nursing services. Methods: The subjects of this study consisted of 221 elderly individuals who were receiving visiting nursing services from a public health center located in Gyeonggi-do. The Mini-mental State Examination Korea version (MMSE-K), Geriatric Depression Scale-short form-Korea version (GDS-K), and Life Satisfaction Scale were utilized to determine cognitive functions, depression, and life satisfaction, Collected data was analyzed by the SPSS PC Win 12,0 program. Results: The prevalence of cognitive impairment (MMSE-K$\leq$24) was 86.4%, and the proportion of severe depression (GDS-K$\leq$10) was 22,6%, Older age, lower education, and low income were associated with cognitive impairment, and low education, no religion, and low income were associated with depression. Cognitive function negatively correlated with depression. Life satisfaction level was fairly low and was not associated with any variables. Conclusion: The high prevalence of cognitive impairment and low life satisfaction status were determined among low-income elderly who were registered at a visiting health care center. Thus, in the future at visiting health care services, efficient and various programs for the elderly should be tried, to improve cognitive functions and reduce depression. Additionally, consistent evaluation studies for those programs will be required.

• 지역사회간호학회지
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• 제24권2호
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• pp.151-160
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• 2013

Purpose: This study was to investigate depression in Korean-Chinese elder living in the Yanbian Korean Autonomous Prefecture in China. Methods: A cross-sectional community-based survey was conducted using face to face private interviews for elders aged over 59, who have been dwelling in the Yanbian Korean Autonomous Prefecture. The samples consisted of 183 Korean-Chinese and 182 Han-Chinese with the latter as a reference group. Data were collected from August 25 to September 20, 2011 and analyzed with the SPSS 18.0 program. The GDS (Geriatric Depression Scale) was used to measure elderly depression in the subjects. Results: In Korean-Chinese, the rate of depression was higher in those who had lower educational levels, and were economically supported by the government. And those who had depression showed lower scores in Chinese language proficiency, health status, and social supports, and had more chronic diseases. Factors having effects on Korean-Chinese elderly depression included perceived health status and subjective support. Conclusion: According to the results, for preventing the depression of Korean-Chinese, it is necessary to develop health management programs and social support networks, which were easy to approach.

• Journal of Korean Biological Nursing Science
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• 제17권4호
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• pp.287-296
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• 2015

Purpose: The purpose of this study was to identify the influence of physical activity and depression on sleep quality among the young-old and old-old community-dwelling elderly. Methods: Participants were 216 community-dwelling older adults in Korea aged 65 or above. Data were collected using structured questionnaires with face-to-face interviews that included demographic and health-related characteristics, International Physical Activity Questionnaires (IPAQ), the Short Form Geriatric Depression Scale (SGDS) and the Pittsburgh Sleep Quality Index (PSQI). A hierarchical multiple regression was conducted to examine whether physical activity and depression would predict sleep quality under other controlled factors. Results: There were differences in demographic and health-related characteristics, physical activity, and depression by age groups, but not in sleep quality. In the young-old elderly, physical activity (${\beta}=-0.22$, p=.043) and depression (${\beta}=0.31$, p=.002) were significantly associated with sleep quality (F=4.46, p=.001, Adjusted $R^2=.16$). In the old-old elderly, physical activity (${\beta}=-0.29$, p=.001) and depression (${\beta}=0.41$, p<.001) were significantly associated with sleep quality (F=10.79, p<.001, Adjusted $R^2=.29$). Conclusion: These finding highlight physical activity and depression as important contributors to sleep quality in both young-old and old-old elderly.

• 재활간호학회지
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• 제11권2호
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• pp.74-80
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• 2008

Purpose: The purpose of this study was to investigate the relationships among perceived health status, physical symptom, and depression in the elderly of Rural areas. Method: subjects were 633 elders selected during Feb. to May in 2005. All subject agreed to participate and filled out the survey questionnaire after signing the consent form. scales used in this study are the Perceived Health Status, the Physical Health Questionnaire(PHQ) and the Geriatric Depression Scale(GDS). Data was analyzed by the SPSS/PC 12.0 program. Result: 1) The mean score of perceived health status was 7.78; the mean score of physical symptom was 18.56; the mean score of depression was 8.53, and 64.6% of the subjects belonged to the depression group. 2) Perceived health status had significant relationship with educational level, spouse, and economic status; between physical symptom and educational level, number of chronic disease; between depression and spouse, economic status, number of chronic disease. 3) Depression had negative correlation with perceived health status, but had positive correlation with physical symptom. Conclusion: Considering these findings, it is necessary that depression management programs and care intervention programs considering regional and environmental elements for the elderly in Rural areas.

• 지역사회간호학회지
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• 제23권4호
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• pp.376-385
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• 2012

Purpose: The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population. Methods: The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale. Results: Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system ($x^2$=13.89, p<.001) were significant, while the differences in the perception of depression ($x^2$=.02, p=.891) and coping methods ($x^2$=.34, p=.558) were not statistically significant. Conclusion: Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.

• 정신신체의학
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• 제22권1호
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• pp.40-45
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• 2014

연구목적 경도인지장애와 치매는 인지기능의 퇴행과 우울 등과 같은 신경정신증상을 나타낸다. 이들의 진단에 도움을 줄 수 있는 다양한 진단 도구 중 혈중 호모시스테인 농도를 측정하는 방법이 있으며, 연구에 따르면 혈중 호모시스테인 농도의 증가는 알쯔하이머병, 우울증 그리고 다른 신경정신질환의 발생위험을 증가시킨다. 본 연구는 혈중 호모시스테인이 인지기능장애와 연관된다는 사실을 기초로 경도인지장애와 알쯔하이머형 치매에서 우울증상 유무에 따른 혈중 호모시스테인 농도를 분석해보았다. 방법 경도인지장애, 알쯔하이머형 치매로 진단된 환자 86명이 참여하였고 혈액검사를 통해 혈중 호모시스테인 농도를 측정하였다. 환자들의 전반적인 인지기능 및 심각도의 단계 평가는 한국판 간이정신상태검사(MMSE-KC)와 전반적 퇴화척도(Global Deterioration Scale, GDS), 치매임상평가척도(Clinical dementia rating, CDR)를 이용하여 측정하였고, 우울증상 유무에 대한 평가는 한국판 노인우울척도(Korean version of Geriatric Depression Scale, K-GDS)를 통해 측정하였다. 결과 혈중 호모시스테인 농도는 경도인지장애군 중 우울증상이 있는 군에서 우울증상이 없는 군보다 통계적으로 유의한 높은 수치를 보였다. 치매환자군에서는 우울증상이 있는 군과 우울증상이 없는 군사이에 통계적으로 유의한 차이는 없었다. 상관분석에서 혈중 호모시스테인 농도와 MMSE-KC는 유의한 음의 상관 관계를 보였고, CDR, GDS는 유의한 양의 상관 관계를 보였다. 결론 이러한 결과는 혈중 호모시스테인 농도의 증가가 인지기능저하와 우울증의 위험인자라는 사실을 나타낸다. 특히 본 연구에서는 경도인지장애 환자군에서 혈중 호모시스테인 농도와 우울증상 간의 의미있는 연관성을 제시하였다. 본 연구 중의 몇 가지 제한점을 보완한 좀 더 대규모의 연구가 필요하다.

• 국제물리치료학회지
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• 제1권1호
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• pp.26-31
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• 2010

The purpose of this study was to investigate perceived health status, activities of daily living and depression of the elderly in nursing facilities and to identify correlations among them. The collected data is to improve healthy life for the aged people in communities. This study was performed by using of questionnaire which was consisted of perceived health status, activity of daily living(ADL) and depression. The survey was conducted by 180 aged people at nursing homes. The results of perceived health status show that 64.9% of elderly feel very bad or bad, 61.6% of elderly have a degree of independent level of activity of daily living(ADL) and 48.6% of elderly have a degree of depression. There were statically revealed meaningful correlation between ability of activity of daily living(ADL) and perceived health status, ability of activity of daily living(ADL) and depression. This study about connection among perceived health status, activity of daily living(ADL) and depression is necessary for number of the affiliation function of elderly at nursing homes and development of intervention programs concerned about depression are necessary.