• Title/Summary/Keyword: Health Status Depression

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The Analysis of the Effects of Comprehensive Health Promotion Program for RA on Changes in Health Promotion Strategies, Knowledge, and Health Status (류마치스 관절염을 위한 포괄적 건강증진 프로그램이 (Comprehensive Health Promotion Program for Rheumatoid Arthritis) 건강증진 전략, 질환에 대한 지식과 건강상태에 미치는 효과 분석)

  • 오현수
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.619-631
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    • 2000
  • This study was conducted to test whether a comprehensive health promotion program for promotion strategies and knowledge about the disease, thus leading to the improvement of health status by using repeated measure of quasi- experiment design. Eighteen RA patients who visited the RA clinic of an university hospital located in Inchon were invited to participate in the CHPPRA. According to the study results, it was shown that the CHPPRA had significant effects on the patients' health status such as pain, depression, and functional disability. Also, that the improvement of health status was achieved by a positive change in the four health promotion strategies, which consisted of goal setting, positive thinking, exercise, and knowledge about the disease. Goal setting, positive thinking, and knowledge about the disease could also affect the patients' depression. Thus it can be interpreted that the improvement of these strategies may result in a remarkable decrease of depression. In addition, alleviation of functional disability may be due to increase of exercise. However although the strategies which were directly associated with pain management were not significantly improved, pain was significantly reduced. On the other hand, the study result showed that the other health promotion strategies included in CHPPRA such as pain management, positive thinking, stress management, asking for assistance and communication were not significantly increased. although the health status such as pain, depression, and functional disability, which are final goals of the program, were significantly improved through the exposition of patients to those health promotion strategies.

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The Impacts of Household Work Participation and Shared Activities on Marital Relationship and Depression (남편이 은퇴한 부부의 가사노동 참여와 공유 활동이 부부관계와 우울감에 미치는 영향)

  • Kim, Su-Jin;Koh, Sun-Kang
    • Journal of Family Resource Management and Policy Review
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    • v.22 no.2
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    • pp.65-84
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    • 2018
  • This study analyzes the impacts of household work participation and shared activities between couples on marital relationship and depression among retired men and women with retired husbands. To investigate this, a survey of 367 married people is conducted on retired men and women with retired husbands. The influencing factors on the marital relationship of retired men are found to be couples' shared activities, gender role attitudes, and subjective health status. The marital relationship of women with retired husbands is influenced by shared activities by couples, the division of domestic labor, and gender role attitudes. The factors affecting retired men's depression are shared activities by couples, perceived health status, type of jobs before retirement, and age. Women's depression is related to household income, shared activities by couples, husbands' jobs before retirement, subjective health status, and division of household labor.

Factors Associated with Depression among Wage Earners by Subjective Health and Stress Perception (임금근로자의 우울관련요인: 주관적 건강과 스트레스 인지를 중심으로)

  • Kim, Duck-Jin;Lee, Jeong-Seop
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.26 no.1
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    • pp.99-108
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    • 2016
  • Objectives: The purpose of this study is to analyze factors associated with depression among wage earners by subjective health and stress perception. Methods: The study subjects include 1,787 wage earners(aged 19 and older) who are currently working, using data from the 2014 National Health and Nutrition Survey. Data were analyzed using frequency test, t-test, ANOVA and multiple regression. Results: Multiple regression analysis showed that perceived stress level, subjective health status, age, monthly household income, sex, marital status, average daily sleeping time, and whether type of employment was regular or non-regular were significantly related to depression. Conclusions: It is necessary to develop an appropriate mental health promotion program and to manage prevention of depression at the national level.

Changes in Pain, Fatigue, Perceived Health Status, Joint Stiffness, Disability in ADL, and Depression after Tai Chi for Arthritis Program (관절염 환자를 위한 타이치 프로그램 적용 후 통증, 피로, 인지된 건강상태, 관절뻣뻣함, 일상활동장애, 우울의 변화)

  • Lee, Kyung-Sook;So, Ae-Young;Choi, Jung-Sook;Lee, Eun-Hee;Yoo, Bo-BI
    • Journal of muscle and joint health
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    • v.15 no.1
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    • pp.53-61
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    • 2008
  • Purpose: The purpose of this study was to observe the changes of the pain, fatigue, perceived health status, disability in ADL, and depression after Tai Chi for arthritis. Method: The subjects were 19 osteoarthritis women enrolled at one primary health care post. They have agreed to participate in this study, and participated in the 12-week Tai Chi program from Dec. 2006 to Mar. 2007, and all the measurement processes in right after, 2 months later, and 4 months later after Tai Chi program. The measurement tools of this study were all self-reported questionnaires such as Numerical Rating Scale (0-100) for pain, fatigue, and perceived health status, Korean-WOMAC (Western Ontario and McMaster University Osteoarthritis) Index for joint stiffness, Korean Health Assessment Questionnaire, and CES-Depression scale. Results: The repeated measure ANOVA revealed the significant differences on pain among the right after, 2 months later, and 4 months later the program. Especially 2 months later after program, pain was significantly increased than right after by t-test. There were no significant differences on fatigue, perceived health status, disability in ADL, and depression. Conclusion: Pain was increased after Tai Chi for arthritis program, but fatigue, perceived health status, disability in ADL, and depression were not changed until 4 months after Tai Chi program.

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The Effects of Subjective Health Status on Depression among Older Adults : Focusing on Moderating Effects of Age-friendly public service resources and Age (주관적 건강상태가 고령층의 우울에 미치는 영향 : 고령친화적인 공적서비스 자원과 연령의 조절효과를 중심으로)

  • Kim, Sue-Lynn;Kim, Juhyun;Ju, Kyonghee
    • Korean Journal of Social Welfare Studies
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    • v.49 no.2
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    • pp.65-92
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    • 2018
  • It has been well known that there is a close relationship between health and depression among older adults. Under the purpose to mitigate and prevent the risk of depression caused by poor health, the changes in subjective health status'effects on depression depending on the level of age-friendly public service resources, and age were respectively examined in this study. Moderating effects analysis was conducted using 492 adults aged 55 years and over from '2017 age integration survey' data which had been collected nation-widely. Major findings are as follows. The inadequate subjective health status raises the level of depression. This tendency is weakened when the better age-friendly public service resources are presented. In contrast, age has no statistically significant effects on the relationship between two variables. As a result of reviewing the specific conditions to bring out the interaction effects, frail subjective health status increased depression of all age groups as the level of age-friendly public service resources is low. Particularly, for the participants aged average(age 66.6) and older, the negative effects of subjective health status on depression are likely to be lowered by the improvement in poor age-friendly public service resources. That is, the buffer effects of age-friendly public service resources are proved. Based on theses findings, several suggestions for health promotion and depression prevention of older adults were discussed.

The Effect of Exposure to Hazardous Workplace Environment on Depression - Focusing on Mediating Effects of Drinking and Moderating Effects of Subjective Health Status- (유해환경 근무 경험이 우울에 미치는 영향 - 음주의 매개효과와 주관적 건강의 조절효과를 중심으로 -)

  • Moon, Jae-Woo
    • The Journal of Korean Society for School & Community Health Education
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    • v.17 no.1
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    • pp.59-73
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    • 2016
  • Objectives: The working environment affects employees' physical and mental aspects, and has a deep associations with depression. The purposes of this study are to investigate how hazardous environment working experience impacts on depression, to provide rationale and practical implications for reducing depression and drinking. Methods: This study targeted 215 dental hygiene students from 3 universities located in Gyeonggi-do from November 30 to December 4, 2015. We analyzed the data with frequency analysis, descriptive statistics, t-test. One-way ANOVA, Pearson correlation coefficient, Regression analysis by using SPSS. Results: This study showed that experience working in hazardous environments increased depression and alcohol drinking, on the other hand alcohol drinking reduced depression. In addition, experience working in hazardous environments effected on depression indirectly through mediating of drinking, subjective health had not role of Moderating Effects between experience working in hazardous environments and depression. Conclusions: In order to reduce workers' depression and alcohol, the improvements of harmful environment are needed. For this governments and local governments should efforts to support enhancing workplace environment, to develop model of standard work environment, and to change employers' awareness on the harmful environment.

A Study on the Falls, Fear of Falling, Depression, and Perceived Health Status among the Older Adults (노인의 낙상, 낙상에 대한 두려움, 우울, 지각된 건강상태에 관한 연구)

  • Jung, Duk-Yoo;Shin, Kyung-Rim;Kang, Youn-Hee;Kang, Ji-Sook;Kim, Kon-Hee
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.91-101
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    • 2008
  • Purpose: The purpose of this study was to investigate the relationships between a experience of falling, fear of falling, depression, and perceived health status in urban areas. Methods: After obtaining Institutional Review Board (IRB) approval, a one-time, face-to-face, and private interview was conducted with each participant who was eligible and agreed to participate in this study from May 2007 to August 2007 by trained graduate-level nursing students. The questionnaires consisted of Fall Efficacy Scale, K-GDS, and SF-36. The collected data were analyzed with SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, t-test, and hierarchical regression. Results: The major findings of this study were as follows; 1) approximately 9% of participants had fallen within one year. Study participants reported moderate fear of falling(M=43.80); moderate physical health (M=42.31) and mental health(M=46.05); and low depression status(M=10.38). 2) there were significant differences in fear of falling according to gender, experience of falling, exercise, and depression. 3) significant factors influencing on fear of falling were experience of falling and physical health status. Conclusion: The results of this study indicate that nurses working closely with older adults should be taught the impact of previous falls and physical health status on fear of falling and need to reinforce exercise behavior for older adults who are vulnerable to fear of falling.

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Factors Related to the Self-Rated Health Status among Korean Elderly - Analysis of the 2016 Korean National Health and Nutrition Examination Survey - (한국노인의 주관적 건강상태 인식 관련 요인 - 2016 국민건강영양조사 자료 분석 -)

  • Park, Kyung-Ae
    • Journal of the Korean Dietetic Association
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    • v.24 no.4
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    • pp.344-360
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    • 2018
  • This study examined the sociodemographic factors, health-related habits, chronic diseases, dietary habits, and nutrient intake according to the self-rated health status in a group aged over 65 years by analyzing the nationally representative Korean survey data. A total of 1,510 subjects were analyzed among the participants of the 2016 Korean National Health and Examination Survey (KNHANES). Statistical analyses for complex samples were performed using the SPSS software package (version 19.0) The study subjects were divided into two groups (healthy group vs. unhealthy group) based on their self-rated health status. The percentage of the healthy group was 66.5%. Gender, age, education level, household income, job (P<0.001, respectively), marital status, and basic living allowance (P<0.05, respectively) were significant sociodemographic variables of the self-rated health status. Alcohol consumption (P<0.01), aerobic physical activity, stress, quality of life, not feeling very well, depression and activity restriction (P<0.001, respectively) were also significant health-related variables of the self-rated health status. Blood glucose, anemia (P<0.05, respectively), and chewing problems (P<0.001) were significant chronic disease-related variables of the self-rated health status. Adequate intakes of protein, dietary fiber, phosphorus, thiamin, niacin, vitamin C (P<0.001, respectively), calcium, sodium, potassium (P<0.01, respectively), iron, vitamin A, and riboflavin (P<0.05, respectively) were also significant variables of the self-rated health status. In complex samples multiple logistic regression analysis, the self-rated health status was influenced significantly by the aerobic physical activity (P<0.01), stress level (P<0.05), depression (P<0.001), quality of life (P<0.001), not feeling very well (P<0.001), activity restriction (P<0.001), chewing problem (P<0.05), and adequate intake of iron (P<0.05). These results suggest that activity restriction, mental health, adequate iron intake, and physical activity may be associated with the self-rated health status in the elderly.

Effects of Group Exercise Program Tailored by Physical Fitness on Perceived Health Status, Physical Strength, Depression and Cognitive Function of the Elderly (체력에 따른 그룹별 맞춤형 운동 프로그램이 노인의 지각된 건강 상태, 체력, 우울 및 인지기능에 미치는 효과)

  • Shin, Mee-Kyung;Shin, Su-Jin
    • Korean Journal of Adult Nursing
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    • v.20 no.4
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    • pp.613-625
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    • 2008
  • Purpose: The purpose of this study was to identify the effects of the tailored group exercise program on perceived health status, physical strength, depression and cognitive function in seniors. Methods: The subjects were 42 seniors of the experimental group and 28 seniors of the control group. The exercise program tailored by physical fitness was carried out for 16 weeks. The dependent variables were measured by Perceived Health Status Scale, The Senior Fitness Test, MMSE-K, and GDS-K. The collected data were analyzed by Fisher's exact test, Chi-square test and t-test, and ANCOVA using the SAS program. Results: In terms of physical strength and depression there was significant difference among groups. Perceived health status and cognitive function were not significant different among groups. Conclusion: In this study, the tailored exercise program was effective and safe for the elderly, and resulted in improving physical and psychological health status in the elderly. This demonstrated that the tailored group exercises program on the basis of the subject's fitness, played an essential role in maintaining and improving the health.

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The Effect of Employment Status on the Depression of the Elderly (취업 여부가 노인의 우울에 미치는 영향)

  • Nam, Hyekyung;Yi, Yunjeong;Hur, Jungyi
    • Journal of Korean Public Health Nursing
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    • v.31 no.3
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    • pp.492-504
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    • 2017
  • Purpose: This study aims to investigate the effect of employment of elderly over 65 years on elderly depression using the "Nation Elderly Survey 2014". Methods: The subjects were 10,451 elderly aged 65 or older who were selected from 16 cities and provinces via multilevel stratified sampling method. In an effort to represent well the nation's elderly population, composite sample analysis method was used for the study, and a hierarchical logistic regression analysis was performed to identify those factors affecting the depression among the elderly population. Results: The factors affecting the depression were education level, household income, Perceived health status, smoking, drinking, physical activity, body mass index and employment status. It was found that the unemployed persons were 1.68 times more likely to be depressed than those who remain employed. Conclusion: Where the average life expectancy is getting longer and the poverty rate of elderly is high, employment activities of the elderly are of great significance in terms of ensuring economic stability as well as in lowering medical expenses through reduction of depression. Therefore, it is necessary to increase the employment rates of the elderly for economic, social and healthcare perspectives.