• Journal of Korean Academy of Nursing
• /
• v.33 no.6
• /
• pp.812-819
• /
• 2003

Purpose: This study was to identify factors that influence the health care needs of that over 65 years of age in Mokpo, Korea. Method: The data was collected from June 2002 to September 2002. The subjects were 120 homebound solitude elderly(age=76.8). Subjects were interviewed with structured questionnaire in order to identify the health care needs, health variables (perceived health status, risk of malnutrition, K-IADL), psychological variables(self-esteem, depression) and demographic variables. physiological health variables (height, weight, blood pressure, pulse, blood sugar)were assessed after the interview. Result: In general perceived health status was poor, risk of malnutrition was high, number of disease was 3 disease, self-esteem was low but depression was high and health care needs were relatively high. Among the elderly education & counseling needs topped the list. In regression analysis, health care needs were significantly influenced by IADL(23%), duration of solitudes(4%), sex(3%), and education(l%). These variables explained 31% of the variances in health care needs. Conclusion: The result identified that health care needs should be a considered in IADL, female, duration of solitudes and education for the solitude elderly.

• Journal of Korean Academy of Nursing
• /
• v.35 no.7
• /
• pp.1379-1389
• /
• 2005

Purpose: This study was performed to evaluate and compare health conservation and its related factors of elders in assisted living facilities or nursing homes. Method: Data for health conservation was collected from 316 elders in 10 institutions in Daegu city and Kyungpook province from February 1st to February 22nd, 2005. Data was collected by a structured questionnaire that included general characteristics, general health status, health conservation, functional health status (ADL, IADL) and depression (GDS-K) scales. The collected data was analyzed by the SPSS (version 11.5) program including descriptive statistics, t-test, -test, Pearson's correlation and stepwise method regression analysis. Result: The elders in assisted living facilities revealed lower scores in health conservation, ADL and IADL than the elders in nursing homes. Predictable variables influencing health conservation of the elders in assisted living facilities were depression and MAC (Mid-Arm Circumference) that is equal to .270, and the the elders in nursing home were depression, IADL, degree of sleep, and TSF (Triceps Skin Fold) that is equal to .409. Conclusion: The development of a health conservation program and long-term health care service system for elders in assisted living facilities are needed than for the elders in nursing homes.

• Journal of Home Health Care Nursing
• /
• v.17 no.2
• /
• pp.144-155
• /
• 2010

Purpose: This study investigated the factors affecting the quality of life (QOL) of the primary caregivers of home health care patients. Method: The subjects were 110 primary caregivers of patients who were receiving home health care from two home health care centers affiliated with general hospitals in Seoul. Data collection was conducted using five questionnaires. Results: Positive relationships were evident between QOL and social support and perceived health status of the primary caregiver. Negative relationships were evident between QOL and burden and depression. Multiple linear regression analysis for QOL revealed that the most powerful influencing factor was social support. Social support, burden, and depression explained 34.3% of the variance. Conclusion: Burden, depression, and social support are related with QOL of primary caregivers of home health care patients. Nursing intervention strategies directed at this caregiver population are needed.

• Journal of Korean Academy of Nursing
• /
• v.33 no.5
• /
• pp.544-552
• /
• 2003

Purpose: This study examined the health status among elderly in community. Method: This is a survey using cross-sectional design. The subjects were 531 elders who were 65 and over in Pusan, Korea. Data were collected by 17 trained interviewers from April 10 to August 26, 2000. Functional status for physical health status, depression, loneliness, self-esteem for psychological health status, and social support for social health status were measured. Result: About forty three percent of the subjects were found as the elderly who need support in physical status. About fifty six percent of the subjects were depressed. The mean score on the Loneliness scale was 40.4, which means relatively higher. For self-esteem, its score was lower than that of elderly who were examined in other studies. The subjects were living in the state of lower social support. The risk factors for vulnerable health status were being female, becoming older, lower income and education, and living alone. Conclusion: This finding indicates that the elderly subjects in Korean community were in poor health status in physical, psychological and social aspects.

• Journal of Korean Academy of Rural Health Nursing
• /
• v.6 no.2
• /
• pp.69-77
• /
• 2011

Purpose: This study was done to identify the current status of research on depression in married immigrant women and to suggest directions for future nursing research. Method: Sixteen articles for the period between 2001 and 2010 were selected by key words such as "Married Immigrant Women" and "Depression" from the databases (RISS4U et al). Results: Twelve of the research reports were related to correlations and 4 were related to interventions. Depression level was measured using BDI or CES-D. Depression levels were as follows: 20-30% reported major depression and less than 10%, severe depression. Factors which influenced depression included: socio-demographic factors, and family, economic, psychological and situational characteristics. Psychological treatment prevailed in the intervention research, for example, art therapy, and horticultural therapy. In 2 papers significant improvement in the state of depression among participants in the intervention group were reported. Conclusion: The next phase of nursing research related to married immigrant women is to reconsider the importance of the concept of depression to reexamine research methods and directions.

• Journal of East-West Nursing Research
• /
• v.17 no.2
• /
• pp.149-155
• /
• 2011

Purpose: The purpose of this study was to examine the effect of depression and self-efficacy on health promotion behavior in elders living alone in rural area. Methods: This was a descriptive study. The survey participants were 369 elders living alone in rural area. The period of time for data collection was from June 23 to August 7, 2008. Data were analyzed by descriptive statistics, independent-samples t-test, ANOVA, pearson's correlation coefficient, and stepwise multiple regression. Results: Depression was found to have a statistically negative correlation with health promotion behavior. Self-efficacy was found to have a statistically positive correlation with health promotion behavior. Stepwise multiple regression analysis revealed that the most powerful predictor of health promotion behavior was depression. Depression, self-efficacy, number of chronic disease, and economic status accounted for 35.2% of the variance. Conclusion: It is necessary to prepare health promotion programs that can reduce depression level and improve self-efficacy in elders living alone in rural area.

• Research in Community and Public Health Nursing
• /
• v.18 no.3
• /
• pp.391-399
• /
• 2007

Purpose: The purpose of this study was to investigate stress, depression and health risk behaviors in elderly people. Methods: The subjects were 238 Korean elders who had visited the convalescent center. The level of stress was measured by the Korean version of BEPSI, which was developed by Bae, Jeung & Yoo (1992) and modified by Yim et al.(1996). CES-D was used to measure the level of depression. For health risk behaviors, we measured cigarette consumption and alcohol drinking during the last one month. Results: Of the subjects, 17.4% were excessive drinkers and 18.9% were currently smokers. The level of stress was between moderate and high, and 62.7% of the subjects were depressed. There were significant differences in stress and depression according to economic status and self-reported health. In addition, depression had positive correlations with stress and QF score. Conclusion: Stress and depression management programs for the elderly are needed. These findings indicate that nurses must consider stress and alcohol drinking when they take care of depressed elderly people.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.5
• /
• pp.382-390
• /
• 2017

This study was conducted to identify the factors affecting the quality of life of cancer patients based on demographic characteristics, health status, and mental health using the results of the 6th National Health and Nutrition Survey. The research tool used the demographic characteristics, health status, mental health, and quality of life of the KNHANES VI-2. Data analysis was conducted using SAS 9.3 version. There were significant differences in the quality of life in the study results by age, gender, economic activity, individual income quartile, subjective health status, mental health status, activity limitation, stress perception, and experience of depression symptoms. Factors influencing the quality of life of cancer patients included age, sex, income quintiles(individual), subjective health status, activity limitation, and experience of depression symptoms, which together explained 39.1% of the quality of life. To improve the quality of life of cancer patients, comprehensive management is required from diagnosis to treatment to return to society. It is also necessary to develop and apply long-term programs including multidimensional approaches and improvement of quality of life, early screening of cancer and cancer prevention education, management of depression symptoms, and social support.

• Research in Community and Public Health Nursing
• /
• v.21 no.4
• /
• pp.429-438
• /
• 2010

Purpose: This study was descriptive survey research to examine the factors affecting menopause, depression and menopausal symptoms, and the relations among these factors in South Korean midlife women. Methods: The subjects were 319 midlife women in Daegu City. Measures were Zung's Self-Report Depression Scale (1979) to check depression, and the Midlife Women's Symptom Index developed by Im (2006) to check menopausal symptoms. Data were collected from June 1 to July 31, 2010. Collected data were analyzed by mean, standard deviation, and Pearson's correlation coefficient through SPSS/WIN 18.0. Results: There was a statistically significant correlation between depression and menopausal symptoms (r=.692, p<.001). The factors affecting depression were age (r=.194, p<.001), income (r=-.307, p<.001), exercise (r=-.602, p<.001), and menopausal status (r=.224, p<.001). The factors affecting menopausal symptoms were exercise (r=-.158, p<.037), menstrual pain (r=-.171, p = .004) and menopausal status (r=.222, p<.001). Conclusion: Intervention programs for decreasing menopausal symptoms in midlife women should be focused on relieving menopausal pain and encouraging excise from youth. Further studies will be needed to examine the relations among other factors including living style, area and menopausal symptoms.

• Child Health Nursing Research
• /
• v.13 no.4
• /
• pp.416-426
• /
• 2007

The purposes of this descriptive survey study were to describe antenatal depression and level of mother-fetal interaction, and to assess mother's behavior and feeling during mother-fetal interaction, in order to develop a base for nursing intervention programs for mothers who have antenatal depression. Method: Data were collected from 174 pregnant women who visited one public health center and OBGY clinic in Gangneung city. The instrument used for this study was a self-report questionnaire to identify depression (BDI), and mother-fetal interaction. Results: Of the mothers 63.2% were in the normal range for antenatal depression, 21.3% in the mild group and 15.5% were in the moderate to severe group. For antenatal depression, there were significant differences among the income, planned pregnant, health status, marriage satisfaction, family support, husband's love. The mean for mother-fetal interaction was $29.88{\pm}4.91$. For mother-infant interaction, there were significant differences in education, income, pregnant number, delivery number, feeding plan, marriage satisfaction, family support, husband's love. There was a weak correlations between antenatal depression and mother-fetal interaction but it did not reach statistical significance. Conclusion: Antenatal depression and mother-fetal interaction influence fetal development. It is essential to assess and provide immediate care to mothers who have antenatal depression and lower level mother-fetal Interaction.