• Title/Summary/Keyword: Health Status Depression

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The Effect of Depression, Life Stress and Resilience on Quality of Life in Middle Aged Women (중년여성의 우울, 생활스트레스 및 회복탄력성이 삶의 질에 미치는 영향)

  • Yang, Kyoung Mi
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.300-309
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    • 2015
  • Purpose: This study investigated the effect of depression, life stress and resilience on quality of life among middle-aged women. Methods: A descriptive correlation study design was used with a convenience sample consisting of 201 middle-aged women recruited from an urban area. SPSS 21.0 was used for a descriptive analysis, t-test, ANOVA, Pearson's correlations and multiple-regression analysis. Results: Quality of life had a significant positive correlation with resilience(r=.53, p<.001) and negative correlation with life stress(r=-.27, p<.001). The significant factors for quality of life were resilience (B=.425, p<.001) marital-status (B=.227, p=.001) and health status (B=-216, p=.001). These factors explained 36.8% of the variance in quality of life. Conclusions: In conclusion, to promote quality of life middle-aged women, there is a need to develop an intervention program to improve resilience.

A Path Model Predicting Medication Adherence and Self-care of Low-income Older Adults with Hypertension (저소득층 고혈압 노인의 약물복용행위와 자가간호 예측 경로모형)

  • Suh, Soon-Rim;Lee, Eun-Hyun
    • Korean Journal of Adult Nursing
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    • v.23 no.4
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    • pp.374-385
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    • 2011
  • Purpose: The purpose of this study was to identify the factors that influence medication adherence and self-care among low-income older adults with hypertension. Methods: A sample of 297 low-income older adults with hypertension was recruited from June 30 to July 30, 2010. Data collection was done using a face-to-face interview with structured questions. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, and path analysis. Results: Subjective health status, duration of hypertension, number of drugs excluding antihypertensives, body mass index, knowledge about hypertension, sense of coherence, benefit, barrier, and self-efficacy were identified as significant predictors. Subjective health status and duration of hypertension, knowledge, depression, and self-care showed direct effects on medication adherence. Depression had the strongest direct influence on medication adherence. Body mass index, benefit, self-efficacy, and depression showed a direct effect on self-care. Sense of coherence was a strong predictor of depression which significantly influenced on medication adherence and self-care. Conclusion: For enhancing medication adherence and self-care, it is suggested that a psycho-education program reducing depression and increasing knowledge about hypertension should be provided into low-income older adults with hypertension.

The Association among Activity of Daily Living, Instrumental Activities of Daily Living, Depression and Isolation in Disabled People (장애인의 일상생활동작, 도구적 일상생활동작, 우울 및 고립감의 관계)

  • Choi, Young-Soon;Kim, Hyun-Li;Kim, Young-Hee;Lim, Jae-Ran
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.1
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    • pp.5-12
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    • 2011
  • Purpose: The purpose of this study was to evaluate the association among of Activity of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), depression and isolation in disabled people. Method: The subjects consisted of 761 disabled people in Korea. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlational statistics. Results: There were significant differences in age, cause of disability, type of disability, degree of disability, education, job, perceived health condition, and economic status between disabled people with high and low levels of ADL and IADL. Depression showed significant differences in type of disability, degree of disability, education, job, perceived health condition, and economic state; isolation showed significant differences in age, cause of disability, type of disability, education, job, residence, perceived health condition, and economic status. A significant association was identified between depression and isolation (r=.69, p<.001). Conclusion: There was a high incidence of depression in disabled men with high levels of isolation and ADL and IADL dependence. An effort to increase disabled people's ADL, IADL, and independence levels is needed, and nursing interventions should be designed and tested to increase their community involvement and decrease the sense of isolation and depression.

A Study on the Predictive Factors of Sexual Function in Women with Gynecologic Cancer (부인암 여성의 성기능 예측요인)

  • Park, Jeong-Sook;Jang, Soon-Yang
    • Asian Oncology Nursing
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    • v.12 no.2
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    • pp.156-165
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    • 2012
  • Purpose: This study was to identify predictors of sexual function in gynecologic cancer patients. Methods: The participants were 154 patients treated at a university medical center in A city, Korea. The data collection was performed through a structured questionnaire from July to December, 2010. The instruments used in this study were Female Sexual Function Index (FSFI) perceived health status scale, Eastern Cooperative Oncology Group (ECOG) performance status, body image, and depression. Data were analyzed using descriptive statistics, Mann-Whitney test, Kruskal-Wallis test and stepwise multiple regression with the SPSS 18.0. Results: The mean score of perceived health status was 8.42 and sexual function was 8.42. The lowest score among sexual function was lubrication. The scores of sexual function was significantly different by age, job, marital status, period after diagnosis of cancer and diagnosis. There were significant correlations between sexual function, perceived health status, ECOG performance, body image and depression. In multiple regression analysis, predictors were identified as ECOG performance, age, diagnosis and period after diagnosis of cancer (Adj.$R^2$=.28). The most powerful predictor of female sexual function was ECOG performance (19.0%). Conclusion: The above findings indicate that it is necessary to develop a more effective and personalized sexual function improvement program for gynecologic cancer patient.

The Effects of Rehabilitation Excercise Program on Physical Function and Mental Health Status in Patients with Hemiparesis Following Chronic Stroke (재활운동 프로그램이 만성 뇌졸중 편마비 환자의 신체기능과 정신건강상태에 미치는 효과)

  • Park, Jeong-Mo;Lee, Suk-Jeong
    • Research in Community and Public Health Nursing
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    • v.17 no.2
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    • pp.166-175
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    • 2006
  • Purpose: This study was to evaluate the effects of a rehabilitation exercise program on physical function and mental health status in chronic stroke Patients with hemiparesis Method: This study used a single group experimental design with repeated measures. Data collection and intervention were done from August, 2004 to November. 2004 at a community. Participants were fifteen patients (mean age: 68.6), and a 100 meter walking time and box and block tests were conducted at baseline, 4weeks, and post-intervention (8weeks) Activities of daily living and the levels of depression and anxiety were measured by using SCL-90-R at pre and post Intervention. This program consisted of 1 hour individual exercise 3 times a week for 8 weeks, and it focused on stretching, walking, arm and hand exercise, and hand massage. Result: 1. ADL, IADL, and the 100m walking time in the patients were improved compared with baseline. However. box and block tests was not shown significant improvement compared with baseline. 2. Depression and anxiety scores were improved more than that of baseline. Conclusion: The rehabilitation exercise program can be effective in improving physical function and mental health status, and it has a potential for improving Physical health status in Patients with chronic stroke hemiparesis.

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Health of Apartment Guards and Associated Factors (아파트 경비원의 건강상태와 관련요인)

  • Kim, Sang-Kyu;SaKong, Joon;Chung, Jong-Hak;Kim, Chi-Ho;Bae, Sang-Keun;Jang, Yun-Jin
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.357-363
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    • 1999
  • Objectives: The purpose of this investigation was to study the health status of apartment guards and associated factors. Materials and Methods: This investigation was conducted for 1 month starting from August, 1997. Study population in this cross-sectional survey consisted of 182 guards of apartments located throughout the district of Taegu. Each subject completed a questionnaire about his general characteristics, health behaviors, job descriptions, subjective GIT symptoms and somatization and depression using Symptom Checklist-90-Reversion (SCL-90-R) by self administrated questionnaire and personal interview. Results: Study subjects had one or more GIT symptoms(53.3%), somatization symptoms(83.5%) and depression symptoms(79.7%). The mean scores of GIT, somatization and depression symptoms were not different among the age groups and based on marital status, respectively, but, significantly different by education level(p<0.05). The mean scores of GIT, somatization and depression symptoms were not different among the age group and based on marital status, respectively, but, significantly different by regular diet and by the subject's health status(p<0.05). The mean scores of GIT, somatization and depression symptoms were not different by duration of shift work, by job tenure and by the number of managed houses but, those of somatization and depression symptoms were significantly different by level of job satisfaction(p<0.05). Conclusion: The health statuses of guards at apartments were different from other shift workers because of healthy worker effects and characteristics of their jobs.

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Perceived social support, Instrumental support Needs, and Depression of Elderly women (여성 노인의 사회적지지 및 도구적 지지요구과 우울에 관한 연구)

  • Tak, Young-Ran;Kim, Soon-Ae;Lee, Bong-Suk
    • Women's Health Nursing
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    • v.9 no.4
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    • pp.449-456
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    • 2003
  • Purpose: The purpose of this study was investigate the relationships among perceived social support, instrumental support needs, and depression of healthy, community dwelling elderly women. Method: This study was designed to examine whether the perceived social support and instrumental support were correlated with depression in elderly women. Data were cross-sectional and community-dwelling elderly individuals. The subject was 98 elderly women recruited from Elderly Welfare Center and Community center for Elderly. The instruments for this study were Personal Resource Questionnaire-part II, Geriatric Depression Scale (Short Form), and Instrumental Support Activities Checklist. Data were gathered by means of structured personal interviews. The internal consistency of the instruments was relatively good. Result: The participants' perceived social support was moderately high and instrumental support needs was low. Depression was mild and moderate relatively. The correlation analysis showed that the perceived social support was negatively related to depression and negatively related with instrumental support needs. Conclusion: The findings suggested that more perceived social support, less their depressive symptom in elderly women. It also revealed that the age, marital status, and socioeconomic status of elderly women also are important indicator of the elderly depression. Therefore nursing assessment and the design of intervention that incorporate the determinants supported in this study, such as perceived social support of the elderly women are needed in adopting and maintain health promoting lifestyle for the mental health and effective functioning in later life in women.

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A Study on Health Status of Arthritis Clients in Wonju City (관절염 대상자의 건강상태 조사 - 일개 도.농 복합시를 중심으로 -)

  • Lee, Eun-Hee;Choi, Sun-Ha;Suh, Guil-Hee;So, Ae-Young;Lee, Kyung-Sook;Choi, Jung-Sook;Ko, Kyoung-Dug;Kim, Myoung-Chon;Park, Hyun-Ja;Paek, Seung-Lee;Ryu, Bo-Bby;Yun, Hyun-Suk;Lee, Ae-Ran
    • Journal of muscle and joint health
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    • v.8 no.2
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    • pp.262-277
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    • 2001
  • The purpose of this study was to investigate the health status and to examine the relationship between health related variables of the clients with arthritis. This descriptive-correlational study was measured physical health status(pain, fatigue, physical disability, joint flexibility) and psycho-social health status(social function disability, self-efficacy, depression). The clients were consisted of 127 arthritis clients who were randomly selected from health center, 2 sub health center and 6 primary health care center in Wonju City. The data was collected from November 2000 to January 2001. The results of the study analyzed using a SPSS win were as follows: 1) The subjects' average age was 64.81 years old(female: 86.6%, male: 13.4%). 2) In physical health status, the average score of fatigue was 63 scores and pain was 69.77. Physical disability score was higher than total disability score. In psychosocial disability, housekeeping management disability score was higher than social function disability score. In psycho-social health status, the average score of self-efficacy was 70.86 and the subjects have higher level of depression, more than 20 scores. 3) On pain sites, almost of subjects complained of a knee joint pain. The waist, wrist, and shoulder joint pain were followed. The numbers of pain site were 8.3 per individuals. 4) The flexibility of knee and shoulder joint were lower than another joints. 5) Correlation with fatigue, pain, physical disability, social disability, self-efficacy and depression was revealed highly significant. We suggest that health promotion program considering our research results should be provided for arthritis clients in community level.

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The Analysis of Risk Factors Influencing Adolescent Depression in a Atopic Dermatitis - Based on the 2014 Korean Youth Health Risk Behavior On-line Survey - (아토피피부염 청소년의 우울감에 영향을 미치는 요인분석 - 2014 청소년건강행태온라인조사를 바탕으로 -)

  • Lee, Su-Jung;Chong, Hyun-Chong;Sohn, Tae-Yong
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.103-111
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    • 2020
  • Objectives: The study recognizes the seriousness of depression in youth with atopic dermatitis, and tries to identify factors that affect depression. Methods: Data were obtained from the 2014 Korean Youth Health Behavior Risk Behavior On-line Survey. In this study, 17,232 people who were Atopic dermatitis without missing variables were included in the final analysis. It conducted frequency, chi-square and logistic regression analysis by SPSS 20.0. Results: An analysis of factors affecting depression showed that subjective health level, subjective happiness satisfaction, subjective sleep satisfaction, subjective stress level, smoking, and drinking had an effect. Conclusions: The factors affecting youth depression with atopic dermatitis revealed health status, life behavior. These results are thought to require attention and research on youth with atopic dermatitis, along with the development of practical treatment programs and systematic management by applying them to teenagers in an appropriate time and method.

The Effect of Socioeconomic Status to Depression of Perimenopause Women: Pathway Analysis Using the Reserve Capacity Model (폐경전후기 여성의 사회경제적상태가 우울에 미치는 영향: Reserve Capacity Model을 적용한 경로분석)

  • Park, Mi-Ran;Choi, Hye Seung;Lee, Ju-Young
    • Journal of Korean Academy of Nursing
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    • v.53 no.2
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    • pp.249-259
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    • 2023
  • Purpose: Based on the Reserve Capacity Model, this study investigated the effects of pre- and postmenopausal women's socioeconomic status (SES) on depression, focusing on the mediating effects of self-esteem, happiness, and family relationship satisfaction with social network relationships. Methods: This cross-sectional study involved secondary analysis of national data on 771 perimenopause women gathered from the 16th Korea Welfare Panel Study (KOWEPS) 2021. A path analysis model was constructed to evaluate the relationship between SES, social network satisfaction, self-esteem, perceived health status, and depression. Data were analyzed using ADANCO 2.3.1 and Mplus 8.4. Results: Although SES had no direct effect on depression, it did affect depression through self-esteem, happiness, and satisfaction with family relationships. Conclusion: The findings of this study indicate that perimenopausal women's personal resources—psychosocial variables such as self-esteem and happiness—had a higher effect on depression than tangible reserves like SES. Therefore, interventions for enhancing self-esteem and happiness may prevent depression in perimenopausal women effectively.