• 제목/요약/키워드: Health Status Depression

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Self-Esteem and Depression of the Elderly People Living Alone (독거노인의 자아존중감과 우울)

  • Kyung Hyun Suh;Young Sook Kim
    • Korean Journal of Culture and Social Issue
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    • v.9 no.1
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    • pp.115-137
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    • 2003
  • This study aims to investigate the related variables of self-esteem and depression among the Korean elderly people living alone and examine the relationships or interactions between those variables. Participants were 676 elderly men and women who were at least 65 years of age(M=76.17, sd=7.60) and lived in Seoul, Korea. Three hundred seventy eight participants of this study were living alone. Participants completed questionnaires and psychological tests including: Rosenberg's Self-Esteem Scale, Zung's Self-Rating Depression Scale, The Index of Activities of Daily Living(IADL), Social Support Index(SSI), and Life Satisfaction in the Elderly Scale(LSES). Main statistical designs were 2(gender)×2(residential types), Pearson-product moment and regression analysis. Results indicated that the elderly living alone recognized their health poorer, have lower economic status, and received less social supports than the elderly lived with others. The elderly men who had children were more likely to lived alone. And the elderly men living alone received less social supports than the elderly women living alone, and significant gender difference was found in the reason of living alone. The elderly men living alone had lower self-esteem than the elderly women living alone, while the elderly living alone showed more depressive symptoms than the elderly living with others. There were 2-way interactions both in self-esteem and depression by gender and residential types. There was highly significant gender difference in self-esteem only for the elderly living alone, and it was found that there was no significant difference in depression between elderly men living alone and women living with others. Regression analysis revealed that physical function and self-reported health are predictors of self-esteem, and physical function, self-reported health, and social support are predictors of depression for the Korean elderly living alone. These findings reiterate the role of physical function, social support, health in self-esteem and depession among the elderly and suggest the gender role for quality of life among the Korean elderly living alone.

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Association between Risk of Obstructive Sleep Apnea and Subjective Health and Health-Related Quality of Life of the Korean Middle-Aged and Elderly Population (한국 중고령층의 폐쇄성 수면무호흡증 위험과 주관적 건강 및 건강 관련 삶의 질 간의 연관성)

  • Nu-Ri Jun;Min-Soo Kim;Jeong-Min Yang;Jae-Hyun Kim
    • Health Policy and Management
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    • v.34 no.2
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    • pp.141-155
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    • 2024
  • Background: This study aimed to identified the relationship between the risk of obstructive sleep apnea, subjective health, and health-related quality of life among the middle-aged and elderly population in Korea. Methods: Adults aged 40 or older were extracted from the total 22,559 respondents to the 2019-2020 Korea National Health and Nutrition Examination Survey VIII, and secondary analysis was conducted on a total of 6,659 middle-aged and elderly people with no missing values. Logistic regression analysis and multiple regression analysis were conducted to examine the relationship between obstructive sleep apnea risk factors and subjective health as well as quality of life. Results: The subjective health status decline in the high-risk group compared to the non-risk group for obstructive sleep apnea was statistically significantly higher, with an odds ratio of 1.84 (p<0.001). The health-related quality of life was also statistically significantly lower by 0.02 points (β, -0.02; p<0.001). As a result of subgroup analysis on specific variables, the association between the risk of obstructive sleep apnea and subjective health and health-related quality of life was statistically significant depending on gender, sleep time, presence of depression, household income, and number of household members. Based on the obstructive sleep apnea risk group, women had a higher correlation with low subjective health and lower health-related quality of life scores than men. Sleeping time of more than 8 hours or less than 6 hours was more associated with low subjective health and lower health-related quality of life score than sleeping time of 6-8 hours. Patients with depression were more likely to have low subjective health than those without depression. The lower the household income level and the smaller the number of household members, the higher the association with low subjective health and the lower the health-related quality of life score. Conclusion: It is essential to recognize that the risk of obstructive sleep apnea not only directly affects sleep disorders but also impacts individuals' subjective health and quality of life. Consequently, social support and education should be provided to raise awareness of this issue. Particularly, programs for preventing and managing obstructive sleep apnea should target vulnerable groups such as women, individuals in single-person households, low household income, and those with depression, aiming to improve their subjective health and quality of life.

Family Role Status and Physical/Mental Health of Men and Women : Who is More Vulnerable? (남녀의 가족 역할 점유와 건강 문제)

  • Cha, Seung-Eun;Han, Kyung-Hae
    • Korea journal of population studies
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    • v.29 no.2
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    • pp.167-194
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    • 2006
  • The purpose of this research is to examine the impact of marriage and parenthood on the physical and mental health, in consideration of gender differences. We have retested various theories including Gove's inequality theory to explain how marriage and parenthood affect the contemporary Korean men and women. This study tries to answer these questions by analyzing the data from ${\ulcorner}$Successful Midlife Development: Survey on Mental health and Work/Family Life Course in Korea and the United States (Han et at., 2001)${\lrcorner}. The data were collected from the survey of 1696 adults (women: 49.5% (n=839)) at the age of 27 to 60. In this survey, physical and mental health were evaluated in three dimensions, respectively: depression, perceived physical health and illness symptoms. The results were that occupying both marital and parental status showed better health profile than possessing other role combinations(single parent/married but no child/never-married). Gender differences and other findings have been discussed further.

Relationships among Activity of Daily Living, Depression, and Quality of Life(QOL) in Patients with Stroke (뇌졸중 환자의 일상생활동작, 우울과 삶의 질의 관계)

  • Kim, Won-Ock;Kang, Hyun-Sook;Wang, Myoung-Ja;Kim, Jeong-Hwa;Choi, Jin-Yi
    • Journal of East-West Nursing Research
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    • v.13 no.2
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    • pp.138-146
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    • 2007
  • Introduction: The purpose of this study was to examine relationships among stroke patients' activities of daily living(ADL), depression, and quality of life(QOL). Methods: Data were collected by questionnaires from 251 stroke patients at 5 hospitals and 2 public health centers in Seoul and Kyonggi-Do. The following Questionnaires were utilized for this study: Functional independence measure(FIM) from Grange, Hamilton, and Sherwin(1986), the Korean CES-D scale from Randloff(1977), and quality of life scale from Bang, Hwal-Lan(1991). Results: Data were analyzed using the pearson correlation, t-test, and ANOVA with SPSS/WIN 12.0. The results of this study were as follow; The subjects consisted of 110 fern ales and 141 m ales. The mean score of activity of daily living was 87.2(range 18-126). Age, family history, comorbidity, paralysis site, and duration after diagnosis were significantly associated with activity of daily living. The mean score of depression was 23.8(range 11-44). Age, gender, education, and job were significantly associated with depression. The mean score of quality of life scale was 3.0(range 1-5). Gender, religion, education, job, economic status, and duration after diagnosis were significantly associated with quality of life. Relationships among activity daily living, depression, and quality of life scale: The activity of daily living had a negative relationship with depression score. The activity of daily living had a positive relationship with QOL score. The depression had a negative relationship with QOL score. Conclusion: Based on these results, it is necessary to run rehabilitation programs to improve stroke patients' ADL, depression. Also, it research for of identifying stroke patients' quality of life according to rehabilitation program.

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The effects of pain, sleep, and depression on quality of life in elderly people with chronic pain (만성통증 노인의 통증, 수면 및 우울이 삶의 질에 미치는 영향)

  • Choi, In Suk;Park, Kyungsook
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.289-299
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    • 2017
  • This study was conducted to investigate the effect of pain, sleep, and depression on quality of life in elderly patients with chronic pain. The subjects of this study were 170 elderly aged over 65 years. Data collected from July 1 to September 30 in 2016 at local community center were analysed by multiple regression. As a result, the pain, sleep, depression and quality of life of elderly significant difference by general characteristics and pain-related characteristics. In addition, In this study, the positive correlation between sleep (.471, p<.001) and quality of life, and negative correlation between quality of life and each of pain (-.332, p<0.001) and depression (-.720, p<0.001) were presented. The factors affecting the quality of life of the elderly with chronic pain were subjective health status (${\beta}=.236$, p=.001), depression diagnosis (${\beta}=.123$, p=.048), and depression (${\beta}=-.526$, p<.001), and depression related factors were most influential factor. Therefore, in order to improve the quality of life of elderly people with chronic pain, nursing and management programs should be prepared to reduce depression and pain.

Psychiatric Analysis about Transsexuals (성주체성장애 환자의 정신의학적 분석)

  • Kim, Seok Kwun;Kim, Myung Hoon;Kwon, Yong Seok;Cha, Byung Hoon;Lee, Keun Cheol;Choi, Byung Moo;Son, Ho Sung
    • Archives of Plastic Surgery
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    • v.34 no.6
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    • pp.705-712
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    • 2007
  • Purpose: Transsexualism is considered to be the extreme end of the spectrum of gender identity disorders characterized by, among other things, a pursuit of sex reassignment surgery (SRS). We evaluated psychologic status, health-related quality of life in female-to-male (FTM), male-to-female (MTF) transgender individuals. Methods: We used the Minnesota Multiphasic Personality Inventory, Beck Anxiety Inventory, Beck Depression Inventory, Moudsley obsessive-compulsive Inventory, SCL-90-R, Short-Form 36-Question Health Survey version 2 (SF-36v2). We enrolled 40 transsexual participants. Results: Analysis of quality of life health concepts demonstrated statistically significant (p<0.01) diminished quality of life among the transsexual participants as compared to the Korea male and female population. FTM transgender participants reported more higher hostile, phobic than MTF transgenders. Overall, in all psychologic status examination, Transgender individuals are within normal population boundary. On all category, result is improved post-operatively. Conclusion: Transgender participants reported mental status within normal boundary. SRS improved their quality of life and mental stability.

An Analysis of Convergence Factors on Depressive Symptoms Women in the Postmenopausal: Based on the Theory of Unpleasant Symptoms (폐경기 이후 여성의 우울증상에 영향을 미치는 융합적 분석: 불쾌증상이론에 근거하여)

  • Han, Eun-Kyoung
    • Journal of Convergence for Information Technology
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    • v.8 no.1
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    • pp.59-67
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    • 2018
  • This study was conducted to identify convergence factors affecting depressive symptoms of postmenopausal women through the theory unpleasant symptom. This study was secondary data analysis form Sixth Korea National Health and Nutrition Examination Survey 2015. Study sample of 1,298 menopausal women to evaluate the factors that would influence depressive symptoms, physiological factors, situational factors, and psychological factors. The results showed that significant variables influencing the depressive symptom were income quartile(${\beta}=-.14$, p<.001), health status(${\beta}=.24$, p<.001), and stress(${\beta}=-.20$, p<.001). The explanation power of this regression model was 14. 1% and it was statistically significant. As a result, to improve their depressive symptoms, the nursing interventions are required for postmenopausal women who have the income, health status, and stress.

Comparison of Nutrient Intake and Metabolic Syndrome between Single Person Households and Non-Single Person Households in Elderly Subjects - From the Sixth Korea National Health and Nutrition Examination Survey (KNHANES, 2013~2015) - (노년층 1인 가구와 2인 이상 가구의 영양소 섭취 및 대사증후군 유병률 비교 - 제6기 국민건강영양조사(2013~2015년) 자료 이용 -)

  • Choi, SuBin;Kwak, Jung Hyun;Chung, Hye-Kyung;Kang, Hae Jin;Paik, Jean Kyung
    • The Korean Journal of Food And Nutrition
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    • v.33 no.3
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    • pp.322-330
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    • 2020
  • The purpose of this study was to investigate the comparison of nutrient intake and metabolic syndrome between single person households and non-single person households in elderly subjects. We analyzed data from 2,903 subjects ≥ age 65 who participated in the Korea National Health and Nutrition Examination Survey (KNHANES) 2013~2015. As a result, single-person households had lower income and economic ability, overall nutrient intake was deteriorated, and the proportion of high-carbohydrate intake was high, compared to non-single person households. After adjusting for potential confounders (sex, age, education, household income, economic activity, smoking status, alcohol consumption, walking frequency, health status, depression status, and dietary factors), the single-person household showed a tendency of 1.22-fold higher ORs of metabolic syndrome and 1.3-fold higher ORs of hypertriglyceridemia than the non-single-person household. We suggest that the single-person household may be associated with increased prevalence of metabolic syndrome and hypertriglyceridemia in the elderly subjects.

Health-Related Factors Influencing the Quality of Life of Rural Elderly Subjects - Activities of Daily Living, Cognitive Functions, Prevalence of Chronic Diseases and Nutritional Assessment (농촌지역 노인의 삶의 질에 영향을 미치는 건강관련 요인 - 신체기능, 인지기능, 만성질환 유병율 및 영양진단)

  • Lee, Mee Sook
    • Korean Journal of Community Nutrition
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    • v.17 no.6
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    • pp.772-781
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    • 2012
  • In order to supply the reference data to define the quality of life of the rural agricultural elderly population in the simplified steps, the data were collected by personal visits to 232 elder people over 65 (89 males and 143 females) in Sunchang area. The survey was conducted with written questionnaires concerning the quality of life, health-related habits, basic physical functions and cognitive behavior. The prevalence of the degenerative diseases were assessed by anthropometric and biochemical determinations. The averaged overall quality of life represented by EQ-5D index with Nam's model was calculated to be $0.865{\pm}0.1509$, and the percentages of people below the average were 38% (low QOL group) and 62% (high QOL group) were found to be the above the average. Generally, the subjects with male gender, higher educational background, higher self-rated health status, higher social activities were belonged to the high QOL group. The high QOL group had higher scores of daily living activities KADL and IADL, and lower risks in cognitive functions K-MMSE and depression scale GDS. There was no statistically significant correlation between biochemical indexes of blood and cognitive function and EQ-5D scores when the results were adjusted for age and gender. There were significant differences in nutritional assessment determined by the MNA between the high and low QOL groups. The low QOL group showed inferior nutritional status. The rapidly measurable factors of the quality of life of rural elderly were turned out to be physical activity scores and the simplified nutritional status measurement.

Diabetes-related Characteristics in Men with Diabetes for the Glucose Control Group and Noncontrol Group (남자 당뇨병 혈당 조절군과 비조절군의 당뇨병 관련 특성 비교)

  • Kim, Kyung-Hee;Kim, Ji-Su;Lee, Eun-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.2
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    • pp.152-159
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    • 2011
  • Purpose: This study was done to identify factors related to glycemic control in men with diabetes. Methods: Data from the Korean National Health and Nutrition Examination Survey 2007 2008 collected by the Korean Center for Disease Control were analyzed using chi-square test and t-test. Results: There was a difference in glycemic control according to the individual factor of economic status. Differences in glycemic control according to health related factors were as follows: fasting blood sugar, cholesterol, triglyceride, sleep duration, experience of depression and suicidal thoughts. Conclusion: The results of this study will contribute to improvements in management for men with diabetes through comprehensive identification of factors related to glycemic control.