• The Journal of Korean Physical Therapy
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• v.20 no.4
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• pp.51-59
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• 2008

Purpose: The aim of this study was to evaluate the correlation between the types of leisure activity and Korean form of geriatric depression score in the elderly. Methods: We surveyed elderly (>60 years old) people who participated in leisure activities using interviews in Bukgu district, Daegu city. Data collection was performed from 1 - 31 May, 2008. The data was analyzed with SPSS 12.0 program, which was used for descriptive statistics and Pearson correlation analysis. Results: Common leisure activities scored 'often' and 'very often' were family conversations, offspring visiting, eating out, plant cultivation, entertainment, conversation, walking or jogging, and TV or radio. It was investigated at the rate of 19.2% in the moderate depression and 8.3% in the severely depression. Depression positively associated with newspaper or magazine, family conversation, offspring visiting, social service, movie & theater, exercise and tour. Conclusion: Most elderly people surveyed indicated they were depressed, which should recommend significant leisure activities for elderly to reduce depression in Bukgu district, Daegu city.

• Korean Journal of Adult Nursing
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• v.20 no.5
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• pp.675-684
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• 2008

Purpose: The purpose of this study was to examine the relationship among cognitive function, depression, social support, and self-care in elderly with hypertension. Methods: The subjects were 132 elderly with hypertension living in Seoul, Korea. Data were collected through face-to-face interviews using the Korean version of Mini-Mental State Examination(MMSE-K), Short form geriatric depression scale, social support questionnaire 6, and hypertension self-care scale. Results: Thirty-four percent of the subjects had questionable dementia and forty-two percent of the subjects were depressed. Means for social support were 2.40 for network size and 4.07 for satisfaction. The mean score of hypertension self-care was 60.34, indicating that the subjects took care of themselves moderately well. Cognitive function was negatively related to depression. Social support network and satisfaction were negatively related to depression. Self-care was negatively related to social support network. Conclusion: Programs are needed for elderly with hypertension to improve their cognitive function, depression, and social support. Also further studies are needed to confirm the factors related to self-care in the elderly with hypertension.

• Journal of Korean Biological Nursing Science
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• v.12 no.3
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• pp.157-165
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• 2010

Purpose: The purpose of this study was to examine the effects of recreation combined exercise program on body composition, physical fitness and depression in elderly women in rural district over a three-month follow-up period. Methods: Recreation combined exercise program (RCEP) was composed of resistance exercise, walking and recreation activity twice a week. The subjects were 52 divided in to experimental group (n=28) and control group (n=24). Arm curl, chair stand, 2 min step test, back scratch, chair sit and reach were measured as pre- or post-test data. Also, Depression was expressed using geriatric depression scale as pre- or post-test data. $X^2$ test, paired t-test and t-test were performed using SAS program. Results: Arm curl (p=.023), 2 minute step test (p<.001), back scratch (p=.004) and chair sit and reach (p=.024) showed the significant difference in the comparison between groups. Depression showed the significant difference in the comparison between groups (p=.008). Conclusion: These findings indicated the RCEP has positive influence upon increasing the physical fitness and improving the depression level. In conclusion, the regular RCEP will contribute to the improving physical and psychologic aspect in elderly women over the long period.

• Journal of muscle and joint health
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• v.25 no.3
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• pp.167-175
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• 2018

Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients. Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities' muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression. Results: The upper extremities' muscle spasticity (Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240). Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities' functional capacity as well as depression.

• Journal of dental hygiene science
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• v.14 no.3
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• pp.379-389
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• 2014

This study intended to examine the health status and quality of life among the elderly patients who stayed in geriatric hospitals for a long period of time. The study involved 222 elderly who were older than 65-year-old, an oral examination was conducted in 10 geriatric hospitals located in the metropolitan area and Chungcheong-do. Cross-tabulation, one-way ANOVA, t-test, and Stepwise multiple regression were performed for analysis. The average number of teeth among the subjects was 11.22 and that of dental caries was 1.17. Also, the average number of teeth mobility was 0.93 and halitosis was detected among 81.9%. Only 29.70% reported absence or a kind of systemic disease and 70.31% of the subjects was shown to have more than two kinds of complex disease. In addition, 87.8% of the subjects had depression and among them, 55.40% showed serious depression. The average score on quality of life was 2.62 points and as for the related factors, the number of remaining teeth and dental caries were counted along with care grade, hospitalization period, and age. According to such results, the oral health status among the elderly patients staying long in geriatric hospitals were not good in general; also they showed high level of systemic disease and depression and low quality of life.

• The Journal of Korean society of community based occupational therapy
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• v.5 no.2
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• pp.57-64
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• 2015

Objective : This study shown that effects of the group reminiscence program for dementia elderly. Methods : In this study, dementia was divided into two groups who has used K Welfare Center of day care facilities located in Gimhae, the experimental group(14 patients) and control group(15 patients) was carried out by dividing the experiment twice a week, total of 12 times. Using the evaluation tool of Korea type elderly depression scale(Geriatric Depression Scale in Korea; GDS-K), the level of depression in the dementia was compared before and after. Results : Experimental group of GDS-K was pre-score was $20.8{\pm}1.4$ point, post-score was $13.5{\pm}1.7$ point so statistically significant decreased(z=-3.30, p<.0.5), Pre-score of controlled group is $20.9{\pm}2.3$ point post score was $21.0{\pm}2.6$ point, there was no statistically significant difference(p<.05). As a result of this study, the experimental group decreased depression than control group(p<.05). Conclusion : Through this study, it shown that reminiscence program help depression of dementia decreased. Therefore, reminiscence program that anyone can easily adapt is proposed as a method of reducing depression in dementia.

• Anxiety and mood
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• v.6 no.1
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• pp.45-54
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• 2010

Objective : This study aimed to investigate and compare the prevalence of depression and suicidality among the elderly in a rural city according to their residence type. Methods : Participants were 311 elderly people (109 male and 202 female) in Icheon City, whom trained researchers interviewed and examined Geriatric Depression Scale, Social Support Scale, Instrumental Activities of Daily Living, Activities of Daily Living, Quality of Life Scale, and Mini International Neuropsychiatric Interview (MINI), module C. Using these data, we analyzed participants' risk factors associated with depression and suicidality. Results : The prevalence of depression was 28.0%. The prevalence in the elderly living alone and those admitted to residential facilities was significantly higher than that among the elderly living with family. Suicidality frequency was 19.6%. The suicidality frequency among the elderly living alone and those admitted to facilities was significantly higher than that among the elderly living with family. The risk factors for depression were age, admission to a facility, and low economic status. The suicidality risk factors were living alone, admission to a facility, poor social support, and a history of headache. Conclusion : These results showed the prevalence of depression and frequency of suicidality among the elderly in such a city was quite high. The results of this study remind psychiatrists of the importance of early detection and therapeutic intervention for the elderly with a high risk of depression and suicidality.

• Korean Journal of Clinical Pharmacy
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• v.30 no.2
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• pp.113-119
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• 2020

Background: Reducing the total anticholinergic burden (AB) in older adults is recommended owing to the several peripheral and central adverse effects. This study aimed to identify the AB status of patients admitted to geriatric centers for assessing the influence of the pharmacist-involved multidisciplinary geriatric team care on reducing the AB. Methods: We retrospectively reviewed the medical records of 328 older patients hospitalized in geriatric centers from July 1, 2018 to June 30, 2019, who received comprehensive geriatric assessment and pharmaceutical interventions from a multidisciplinary geriatric team. We measured the total AB scores for the medications at the time of admission and upon hospital discharge using the Korean Anticholinergic Burden Scale (KABS). The pre-admission factors associated with high AB (KABS score ≥3) at the time of admission were identified. Results: The proportion of patients with high AB significantly decreased from 41.8% (136/328) at the time of admission to 25.0% (82/328) on discharge (p<0.001). The pre-admission AB of patients transferred from skilled nursing facilities (odds ratio[OR]: 2.85, 95% CI: 1.26-3.75), taking more than 10 medications (OR: 3.70, 95% CI: 1.55-8.82), suffering from delirium (OR: 2.80, 95% CI: 1.04-7.50), or depression (OR: 2.78, 95% CI: 1.04-7.41) were significantly high. Antipsychotics were the most frequent classes of drugs that contributed to the total KABS score at the time of admission, followed by antihistamines. Conclusions: This study demonstrated that the multidisciplinary teams for geriatric care are effective at reducing AB in older adults. The factors associated with high AB should be considered when targeting pharmaceutical care in geriatric individuals.

• Journal of Families and Better Life
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• v.29 no.5
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• pp.153-163
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• 2011

This study was to investigate the effects of percussion program on depression and self-esteem for the elderly lived in residential care. 12 older adults participated in the 40-min. percussion program for 4 weeks(10 sessions). The percussion program consisted of three steps; 1) introduction for creating rapport and relationship, 2) process for mood induction and increasing interaction, and ending for increasing self-achievement and confirming the changed mood. Korean Geriatric Depression Scale (KGDS) and Self-Esteem Scale (SES) were administered before the first session and after the completion of the program. Results showed statistical significance (p<.05) in KGDS (p=.020) and SES (p=.025). Findings imply that percussion program can induce positive changes in depression and self-esteem for elderly in the residential care, and more depressed elderly group may have better outcome in percussion playing. Future studies should consider various levels of depression among elderly, and design the program to be more sensitive to the level of functioning.

• Journal of muscle and joint health
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• v.27 no.2
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• pp.94-102
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• 2020

Purpose: This study aimed to investigate the effect of the integrated cognitive rehabilitation program in elderly patients with mild dementia. Methods: A total of 20 elderly patients with mild dementia participated in the integrated cognitive rehabilitation program. The program was conducted three times per week for a total of 4 periods (10 wks per period) from February 6, 2018 to December 13, 2018. Each session lasted for 1 hour, and the cognitive function and depression of the subjects were measured before and after they participated in the program. Results: After the program, there was a significant increase and decreases in participants' cognitive function and depression respectively. There was a statistically significant difference in cognitive function score over time and period, except for the 2nd period. The difference in the degree of depression over time and period was statistically significant. Conclusion: The results suggest that an integrated cognitive rehabilitation program could help improve cognitive function and the degree of depression in elderly patients with mild dementia.