• Title/Summary/Keyword: Health Status Depression

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The Correlation between Depression and Physical Health in the Elderly (노인의 신체적 건강과 우울과의 관계)

  • Kim, Hyo-Jung
    • Journal of agricultural medicine and community health
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    • v.26 no.2
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    • pp.193-203
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    • 2001
  • The purpose of this study was to identify the relationship between depression and physical health of the elderly and to provide fundamental data for programs which improve the health of this population. The subjects were 168 elderly people(55 years and older) who resided at home in Taegu. They were surveyed by interview using a closed- ended questionnaire. The survey was done from September 16 to October 16 in 2000. The instruments used in this study were general characteristics, Short form Geriatric Depression Scale(SGDS), Barthel Index, Muscular skeletal symptoms scale, Northern Illinois University's Health Self Rating Scale. The data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, multiple regression with SPSS PC 10.0 version for Windows. The findings were as follows: 1. As compared 65-74 years elderly group, 75-84 years group was significantly higher score for depression(F=3.17, p=.026). As compared elderly group who has own spouse, the group who has no own spouse was significantly higher score for depression(t=- 2.44, p=.016). 2. The aged who have more limitation of Activities of Daily Living(ADL)(t=3.93, p=.000), pain of muscular skeletal symptoms(F=5.33, p=.002) and poor perceived health state(F=17.04, p=.000) showed the higher severity of depression than the aged who have not. 3. ADL correlated negatively with depression(r=- .293, p=.000), pain of muscular skeletal symptoms correlated positively(r=.251, p=.001), perceived health status correlated negatively(r=-.522, p=.000). 4. The combination of perceived health status and ADL explained 29.1% of the varience of depression. On the basis of the above findings the following recommendations are made; 1. Developing health programs is needed considering ADL, pain of muscular skeletal symptoms, perceived health status, demographic variables (age, spouse status) which have an significant effects on depression of the elderly. 2. In the following study, the use of the various scale is needed which reflects physical status of the elderly in home.

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Factors related to Quality of Life of Patients with Ulcerative Colitis (궤양성 대장염 환자의 삶의 질 영향요인)

  • Yoo, Yang-Sook;Chung, Miyoung;Cho, Ok-Hee
    • Korean Journal of Adult Nursing
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    • v.26 no.2
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    • pp.129-138
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    • 2014
  • Purpose: The purpose of this study was to identify factors related to the quality of life of patients with ulcerative colitis. Methods: A total 116 patients with ulcerative colitis were asked on general characteristics, illness-related characteristics, depression, and quality of life. The collected data were analyzed by t-test, ANOVA, and stepwise multiple regression. Results: As for depression the 81.03% were normal, the 8.62% were mild depression, the 6.90% were moderated depression, and the 3.45% were severe. As for quality of life, the social functions was highest, followed by intestine-related symptoms, systemic symptoms, and emotional functions. Quality of life was positively correlated to subjective health status, age, and body mass index, and negatively to depression. Main factors affecting the quality of life included depression, subjective health status, physician's global assessment, age, days of loss in social life, and present abdominal pain. Conclusion: Physical and psychosocial health problems related to ulcerative colitis affected the quality of life of the patients. Further research is warranted for developing educational programs and psychosocial strategies in order to efficiently handle the illness.

A Study on the Perceived Health Status, Activities of Daily Living, Depression for the Elderly at Home (재가노인의 지각된 건강상태, 일상생활수행정도 및 우울에 관한 연구)

  • Kwon, Young Eun;Ha, Jin;Ahn, Soo Yeon
    • 한국노년학
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    • v.27 no.2
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    • pp.335-343
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    • 2007
  • The purpose of this study was to identify the relationships among the perceived health status, activities of daily living, and depression for the elderly at home. The subjects of this study were 403 elderly over 60 years at home. The data were collected through personal interviews using structured questionnaires. The data were analyzed by descriptive statistics and Pearson correlation, using the SPSS 12.0 program. The results of this study were as follows. 1) It was seen that the degree of perceived health status is poor in 62.3%. 2) They could lead an independent daily living in 58.1%. 3) It was seen that contraction of depression was 43.8%. 4) There was a significant relationship among ADL and perceived health status, ADL and depression. However, there was no significant relationship among perceived health status and depression. Based upon above findings, this study give useful information for elderly health policy and intervention program.

Safety Consciousness of the Elderly Living Alone (독거노인의 안전의식과 낙상)

  • Kang, Youngsil;Jung, Sun Jae
    • Journal of muscle and joint health
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    • v.20 no.3
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    • pp.180-188
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    • 2013
  • Purpose: This study aims to explore the effect of physical, emotional and environmental status on safety consciousness of the elderly who live alone. Methods: A total of 228 participants were the elderly living alone aged 65 years and older. Three questionnaires were developed to measure safety consciousness, physical status, and environmental status by researchers. Geriatric Depression Scale (GDS) was used to evaluate emotional status of the elderly. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: Average scores of participants were $3.71{\pm}1.49$ (range 0~6) for physical status, $8.28{\pm}3.38$ (range 0~15) for environmental status, $7.21{\pm}3.40$ (range 0~15) for GDS and $17.00{\pm}6.54$ (range 0~37) for safety consciousness. Safety consciousness was significantly associated with education, marital status, drinking, and depression as emotional status. These variables explained 13.6% of the variance in safety consciousness. Conclusion: The levels of safety consciousness among the elderly living alone were low. Education, marital status, drinking, and depression were the factors affecting safety consciousness. Risk assessment and management of these factors are needed to increase safety consciousness of the elderly.

Relative Effects of Health and Family Factors on Geriatric Depression (노인 우울에 영향을 미치는 요인: 건강요인과 가족요인의 상대적 영향력을 중심으로)

  • Lee, Mee-Ae
    • The Korean Journal of Community Living Science
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    • v.22 no.4
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    • pp.623-635
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    • 2011
  • Over the past few decades, the proportion of elderly people with depression in Korea has been rapidly increasing. The purpose of this study is to explore relative effects of health and family factors on geriatric depression. The data sources are from Korean Longitudinal Study of Aging(2008). The Analysis sample consists of 4,040 cases. Analysis results show that there is a significant variability in geriatric depression according to sociodemographic characteristics, health characteristics, and family characteristics. Hierarchical logistic regression analyses are employed to assess the causal relationship between health characteristics and geriatric depression. Model II showed that ADL(exp(B)=1.732), having difficulties due to sight deterioration(exp(B)=1.398), having difficulties due to masticatory force deterioration(exp(B)=1.414), having difficulties due to pain(exp(B)=2.435), and subjective health status(exp(B)=2.010) are reported as predictors of geriatric depression. Namely, the probability of having geriatric depression of the above predictors has been 1.7 times, 1.4 times, 1.4 times, 2.4 times. 2.0 times higher than normal figures. Among health characteristics, pain is the most prevalent factor. Model III showed that as for family characteristics, coresiding with children(exp(B)=1.312) and frequency of contacting with children by phones, letters, or emails(exp(B)=1.477) are reported as predictors of geriatric depression. Key findings are that health factors have larger effects than family factors on geriatric depression.

Study on Depression and Ego Identity of Middle-aged Women (중년기 여성의 우울과 자아정체감에 관한 연구)

  • Kim, Hye-Young;Koh, Hyo-Jung
    • Women's Health Nursing
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    • v.3 no.2
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    • pp.129-156
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    • 1997
  • The purpose of this study is to investigate the relationship between depression and ego identity of middle-aged women and to identify the variables that show differences in the depression and ego identity of middle-aged women. The subjects in the study were 321 mothers of high school students whose age were 40-59 years old. The instruments for this study were Beck Depression Inventory(BDI) developed Beck(1978) and translated by Lee(1981) and Ego identity Scale developed Suh(1975) and modified by Nam(1975). The reliability values of BDI range from 0.83 to 0.87 and Ego identity range from 0.81 to 0.85 using Cronbach alpha. The data were analysed by using the SAS program and included Frequency, percentage Pearson Correlation MANOVA, t-test, ANOVA. The conclusion obtained from this study were as follows ; 1) There was a negative correlation(r=-0.21, p=0.0002) between depression and ego identity of middle-aged women. Thus the lower depression the higher ego identity for middle-aged women. 2) According to the analysis of interacting effects of depression and ego identity, there were significant differences in the household income(F=0.38, p=0.0035), level of education (F=6.50, p=0.0001), satisfaction of marriage(F=10.45, p=0.0001), family pattern (F=6.18, p=0.0001), menopausal status(F=7.23, p=0.0001), present disease(F=4.85, p=0.0110) and health status(F=9.00, p=0.0001). 3) There were significant differences on the level of education(F=12.98, p=0.0001) household income(F=5.78, p=0.0007), support of spouse(F=8.58, p=0.0002), satisfaction of marriage(F=20.08, p=0.0001), menopausal status(F=11.32, p=0.0001), present disease(t=2.76, p=0.0062) and health status(F=17.23, p=0.0001) of the depression of middle-aged women. 4) There were significant differences on the patterns of household(t=-2.64, p=0.0086), support spouse(F=3.58, p=0.0291), satisfaction of marriage(F=3.90, p=0.0212), menopausal status(F=4.59, p=0.0108) and disease(t=2.11, p=0.0359) of the ego identity of middle-aged women. On the basis of the above findings the following recommendations are made ; 1) According to results of this study, middle-aged women's depression is correlated with ego identity. Thus when the nurse plans the preventive strategy of middle-aged women's depression, the nurse must be considered with level of ego identity. 2) To study for middle-aged women in depth, further research is need to study regard to middle-aged men and their children.

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Factors influencing health-related quality of life for young single-person households: the mediating effect of resilience (청년 1인 가구의 건강 관련 삶의 질 영향요인: 회복탄력성의 매개효과를 중심으로)

  • Soo Jin Lee;Sujin Lee;Xianglan Jin
    • Journal of Korean Biological Nursing Science
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    • v.25 no.3
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    • pp.160-171
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    • 2023
  • Purpose: To identify factors influencing health-related quality of life for young single-person households, this study investigated physical and mental health status, health behavior, depression, resilience, and health-related quality of life. Methods: An online survey was administered to members of young single-person households from March 22 to 30, 2022. The data were analyzed using the chi-square test, independent t-test, one-way analysis of variance, Pearson correlation coefficients, multiple regression, and a simple mediation model applying the PROCESS macro model 4 with 95% bias-corrected bootstrapped confidence intervals. Results: The participants were 229 members of young single-person households. Health-related quality of life showed significant relationships with residence (t = 2.80, p = .006), month (F = 3.70, p = .026), mental health status (F = 20.33, p < . 001), and high-intensity exercise (F = 7.35, p = .001) among general and health-related characteristics. Health-related quality of life had significant correlations with depression (r = -.72, p < .001) and resilience (r = .58, p < .001). Multiple regression analysis showed that depression (β = -.57, p < .001) and resilience (β = .21, p < .001) influenced health-related quality of life. Moreover, resilience had a mediating effect between depression and health-related quality of life (indirect effect = -0.002, 95% bias-corrected bootstrapped confidence interval = -0.003 to -0.001). Conclusion: Members of young single-person households tended to be more vulnerable to emergency situations, such as during the coronavirus disease 2019 pandemic, when lockdowns and quarantines were frequent. To improve health-related quality of life in young single-person households, people with high levels of depression or low levels of resilience need special attention and support to promote mental health.

A Study of the Nutritional Status According to the State of Depression of Allergic Disease Patients: Based on the Korea National Health and Nutrition Examination Survey (알레르기성 질환자의 우울증 유무에 따른 영양 상태 연구: 국민건강영양조사 데이터를 이용하여)

  • Oh, Soo-Yeun
    • Journal of the Korean Dietetic Association
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    • v.28 no.4
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    • pp.227-246
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    • 2022
  • This study was conducted on the nutritional status of 1,805 patients with allergic diseases (atopic dermatitis, allergic rhinitis, and asthma) aged 19 to 64 years according to their state of depression, based on the data from the Korea National Health and Nutrition Examination Survey (KNHANES). The Patient Health Questionnaire-9 (PHQ-9) was used to diagnose depression. Subjects with a score of 10 or more were categorized into the depression group (n=152) and the rest into the non-depression group (n=1,653). The results of this study were as follows: The proportion of women (75.7%) was higher than that of men (24.3%) in the depressed group (P<0.01). In terms of energy intake per 1,000 kcal, both men and women in the depressed group showed a lower energy intake than the non-depressed group and this intake was less than the estimated energy requirement (EER). The nutrient intakes of protein, calcium, phosphorus, iron, vitamin A, thiamine, riboflavin, niacin, folic acid, and vitamin C were below the estimated average requirement (EAR). Also, the intakes of fiber and potassium were less than the adequate intake (AI) (P<0.001). In the lifestyle parameters, the ratio of eating alone at lunch was 54.1%:33.1%, indicating that more than half of the depression group ate alone. In conclusion, it was observed that the nutritional status of allergic disease patients was imbalanced. The nutritional imbalance was due to insufficient energy intake and inadequate intake of nutrients, which was below the average requirements of vitamins and minerals and this was more evident in the depression group than in the non-depression group.

The Relationship among Depression, Self-esteem and ADL in the Case of the Hospitalized Elderly Patients with Chronic Disease (만성질환으로 입원한 노인 환자의 우울, 자아존중감 및 일상생활수행능력(ADL)간 관계연구)

  • Yeo, Yeon-Og;Yoo, Eun-Kwang
    • Korean Journal of Adult Nursing
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    • v.22 no.6
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    • pp.676-686
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    • 2010
  • Purpose: This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. Methods: A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. Results: 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction ($R^2=.57$), while self esteem in itself explained 45% of variance in depression. Conclusion: These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

Relating Factors on Mental Health Status (Depression, Cognitive Impairment and Dementia) among the Admitted from Long-term Care Insurance (노인장기요양보험 인정자의 정신적 건강상태(우울, 인지기능장애 및 치매) 및 그의 관련요인)

  • Song, Young-Su;Kim, Tae-Baek;Bae, Nam-Kyou;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.2
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    • pp.247-260
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    • 2018
  • This study examined the mental health status (depression, cognitive impairment and dementia) and its association with the related factors in the elderly people who were admitted from long-term care insurance. The study subjects were 1,488 people (male 740, female 748) aged over 70 years of age who had been recognized for long-term care insurance services in the years 2011~2014 from the National Health Insurance Corporation. The data collected from the National Health Insurance Corporation set forth a lifestyle questionnaire, itemized health screening tests, and long-term care as recognition data for research purposes. As a result, depression, cognitive impairment, and dementia of subjects increased significantly with age. As a multiple logistic regression result, the risk ratios of depression, cognitive impairment, and dementia, which indicated the mental health status, were significantly higher in women than in men, in the lower body weight group than in the overweight group, in the smoking group than in the non-smoking group, and in the drinking group than in the non-drinking group. These results suggest that the mental health status (depression, cognitive impairment, and dementia) of subjects decreased with increasing age, particularly the group with poor health related behaviors, such as smoking, drinking, and regular exercise, indicating that the mental health condition is lower than in the good group.