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Correlations among Family Support, Self-Esteem and Compliance with Preventive Health. Behavior in Elderly People (노인이 지각한 가족지지와 자아존중감 및 예방적 건강행위 이행과의 관계)

  • Choi Young-A;Park Jum-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.1
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    • pp.141-152
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    • 1999
  • The purpose of this study was to identify correlations among family support, self-esteem and compliance in preventive health behavior in elderly people. The results will provide valuable data for nursing interventions towards help the elderly lead better lives. Those who lived with elderly people in Kimchun were interviewed by the researcher and an assistant. The subjects were 191 elderly people over the age of 65. The study method used was a structured questionnaire and the data were collected from September 17th to September 31th in 1998. The tools for this study were the family support scale designed by Gang Hyun Sook, the self-esteem scale designed by Rosenberg and the preventive health behavior scale designed by Gang Yune Sook. The data were analyzed by the SAS program, Mean, SD, T-test, ANOVA, Pearson Correlation Coefficients. The results of this study are as follows : 1. The mean score for family support was 40.49. The score of family support of the elderly showed significant differences according to age(F=2.66, P<.05), spouse presence(t=4.20, P<.001), family pattern(F=4.56, P<.01), economic status (F=10.47, P<.001) and pocket money(F=10.46, P<.001). 2. The mean score for self-esteem was 29.01. The score of self-esteem of the elderly showed significant differences according to educational level(F=3.47, P<.01), spouse presence(t=2.49, P<.05), family pattern(F=3.79, P<.01), economic staus(F=15.65, P<.001) and pocket money(F=14.04, P<.001). 3. The mean score for compliance with preventive health behavior was 53.15. The score of compliance of preventive health behavior of the elderly showed significant differences according to economic status(F=9.34, P<.001) and pocket money(F=8.13, P<.001). 4. The relation between family support and self-esteem was significantly different(r=.57, P<.001). The relation between family support and compliance with preventive health behavior was significantly different(r=.44, P<.001). The relation between self-esteem and compliance with proventive health behavior was significantey different(r=.51, P<.001), In conclusion, the correlations among lamily support, self-esteem and compliance with preventive health behavior in elderly people showed significant differences.

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Ego Structure in Life Process of the Aged in Korea (노년기의 의식구조에 관한 연구)

  • 유숙자
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.95-115
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    • 1980
  • Current statistics reveal remarkable prolongation of the average longevity in this country for the past decade. Welfare of the aged is no longer sole concern of the person or/and family. but has aroused social concern on the community and national level. This study was designed to assess social, economic and emotional needs of the aged. and to identify problems they are confronting. Data were gathered through questioning 273 subjects living in Seoul from July 25, to August 31. 19 80. Frequencies and percentile scores were analysed to describe the fact. and the significance of int or-variable differences was tested by Chi-square method. Results are : 1. Majority of the subjects (male : 65.38%). (female : 62.13%)“talk about past experiences”to re-collect their past days, the difference between male and female respondents was not significant. 2. Except few who earn their pocket money (4.21%). majority were doing household errands (34.52% ) and looking after their garnd children (29.26 %). Main sources of their pocket money revealed to be their children (84.02%) and their own savings (24.64% ). Except few (15%)engaged with social activities directly or indirectly. leisure hours are spent in chatting with aged neighbors (44.81%). Highest in the rank order on the joyous moments for the aged revealed to be when the members of family living apart paying a visit (male : 37.5%, female : 63.72%)difference of male and female was significant ( P<0.05). Among female respondents. significant difference between age group was revealed (p<0.05). 3. Majority prefered sin91e houses (84.30% ). as residential environment. the suburban (36.26% ) area was the filet in the rank order : difference between age group and the educational status were not significant. Majority of respondents revealed to have their own room in the house. The first preference was given to live with their children (68.86%). Memory of the past (37.36% )revealed to be the highest in the rank order among the reasons why they dislike moving the house. 4. Majority favored current welfare benefts provided for the old age. however. the ideal way to live at their old age they responded was to live on their own savings (50.54%). 5. Majority revealed to be daunted occasionally (62.27%) by not being less active (34.16%) socially and by poor physical health(29.75%). Male and female differ in the causes of loneliness significantly (P <0.001) : retirement (37.89%) in ale and helpessness (43.05%) in female revealed the highest in the rank order. Majority talk over their feelings with aged neighbors to overcome the loneliness. 6 Majority were in favor of planting and looking after pet animal in the house. however. male and female differ in the kind significantly (p <0.001), 7. Majority think about death and dying occasionally or more (84.11% ). Many of the respondents believes in the life after life (53.49%) : female revealed to be significantly higher (p <0.01). and subjects with christian belief were significantly higher than non-christians (P<0.001). Attitude towards death and dying differs significantly between male and female (P <0. 001) and between christians ans and nonchristians (p <0.001). Highest preference was given to simple funeral (69.85%). Precious heritage that they would pass on to their descendants was onoscience and ethical value(57. 51%) : christian response as the first value was christian belief (52.38%).

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A Correlational Study on Perceived Sex life and Depression in Old Men (남성노인의 성생활인식도와 우울과의 관계연구)

  • Kim, Myoung-Hee;Lee, Won-Yu;Lee, In-Soon;Chung, Yeon-Kang;Kwon, Seon-Suk
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.639-647
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    • 2002
  • Purpose: Sexuality is important for the quality of life in old men, but this issue has been less explored due to social prejudice. Therefore, this study was carried out to describe a correlation between sex life and depression perceived by old men. Method: The subjects were 370 old men who were aged over 60 and lived in a city and three provinces. Instruments used in this study were Perception of Sex life Scale 01 items) and Depression Scale (20 items). The data was collected from December 2001 to February 2002 by written responses of the subjects to the questionnaire as well as one-to-one interview by research assistants for subjects. Statistical analysis for the data was done using SPSS and the level of significance was tested at 95% of confidence interval. Result: 1) Mean age of the subjects was $69.35{\pm}5.70$. A total of 253 subjects (68.6%) had spouse, and 191 of the subjects (52.3%) had sexual intercourse as frequently as 3 times per month. The average score for perception of sex life was $21.25{\pm}5.06$, out of the total score of 44, and that of depression was $35.08{\pm}9.29$ out of the total score of 80. 2) Perception of sex life was statistically significant by age, education, disease, medication, living arrangement, marital status, presence of girlfriend, pattern of inter-coitus, pocket money age of last coitus, subjective health state, and relationship (P<0.05). 3) Depression was statistically significant by age, education, disease. medication, living arrangement, marital status, satisfaction for marriage life, pattern of inter-coitus, feeling for change of sex life, pocket money, subjective health state, and relationship (P<0.05). 4) The correlation between perception of sex life and depression was negative, showing that depression tended to decrease as perception of sex life increases. Conclusion: It is concluded that depression in old men is closely related to their sex life. Positive sex life may have an important effect on the quality of life in old men.

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A Study on the Health as Perceived by the Aged (노인들이 지각하고 있는 건강수준에 관한 연구)

  • Yang, Koung-Hee;Jang, Hey-Sook;Kim, Young-Hee
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.229-243
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    • 1996
  • The purpose of this study was to develop a nursing model for the aged. This study was conducted to measure the physical, psychological and mental health status of the aged and to identify relationships between these health levels and various variables. The data were collected from 172 aged(over 60 years old) by interviews. The tools used for this study was a structured questionnaire which was developed and revised by the researchers. The tool consisted of 22 items on physical health assessment, 7 items on psychological health assessment, 9 items on mental health assessment and 10 items on an ADL evaluation. The major results of the study were as follows ; 1. In physical health, the aged complained of visual disturbance(60.5%), incontinence of urine (55.2%), back or muscle pain(73.3%), dizziness(70.3%) and diarrhea or constipation(44.2%). In psychological health, most aged people felt anger when they got some order from an other person(80.2%). Also, they had depression (69.8%) and felt like dying(64.0%). The ADL level was mostly normal for daily life. 2. The aged man was more healthy than the aged woman in physical and mental health especially the 60-64 year old group. The physical, mental health and ADL level had a positive correlation with age(p>.004), but psychological health had a negative correlation with age. 3. The physical, psychological, mental health and ADL level was positively interrelated with each other. 4. The physical, mental health, & ADL level lowered with inceasing age. Physical & psychological health worsened rapidly from 65-69 years, but for 10-15 years, their health level was preserved. Psychological health level was high in 80-84. 5. The physical health was affected by edu cational level, sex and pocket money (R=.4029, 16.24%). The psychological health was affected by the supportive style and pocket money (R=.5128, 26.30%). And the mental health was affected by education level, age, support ive style, sex and job(R=.4377, 19.16%). As seen above, we suggest the intervention of the young for the old to cope with their life and to maintain their healthy late adulthood. Also, if they have received psychological support in the institution, they will maintain healthy life condition. For further studies should be a search for variables that affect aged health, and should contribut to a nursing program better suited for the aged.

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Factors affecting Human Papillomavirus Vaccination among College Nursing Students (일 지역 간호대학생들의 인유두종바이러스 예방접종에 영향을 미치는 요인)

  • Kim, Eun-Jeoung;Kim, Su Hyun;Cho Chung, Hyang-In;Kim, Young A
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.464-472
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    • 2016
  • This investigates the factors that affect HPV (human papillomavirus) vaccination among college nursing students. The subjects were 604 students from 3 nursing colleges located in city G. Data were collected from June to October 2015 and analyzed using SPSS 21.0 software. 14.7% were in the HPV vaccinated group and 85.3% were in the unvaccinated group. Statistical evaluations were done to determine whether vaccination had any associations with age, year in school, gender, pocket money, health beliefs, and knowledge of the HPV vaccination (p<.001). The average score of cancer prevention behavior of the students was 7.22, and the average score of health beliefs was 24.71. The most determining factor for vaccination was "recommendation from parents or significant others," and the most interfering factor for vaccination was "no interest." The significant factors affecting vaccination were the year in school, pocket money, knowledge of the HPV vaccination, and health beliefs. The vaccination rate of subjects who had knowledge of HPV vaccination was higher (OR=8.59, p<.001). These results can contribute to the limited knowledge about the HPV vaccination of college nursing students. Also, this research provides useful baseline data for increasing the rate of HPV vaccination.

Degree of Daily Living Activity and Depression in the Rural Elderly (일부(一部) 농촌지역(農村地域) 재택노인(在宅老人)들의 일상생활(日常生活) 활동(活動) 및 우울정도(憂鬱程度))

  • Lee, Yeung-Seuk;Chun, Byung-Yeol;Kim, Sang-Soon;Lee, Sam-Soon
    • Journal of agricultural medicine and community health
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    • v.21 no.2
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    • pp.195-207
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    • 1996
  • In other to study functional capacity of the daily living activity and depression in the rural 394 people(154 men and 250 women), over 65 year old, who are living in Koryung County of Kyungpook Province were interviewed using questionnaire during the period February 14 to March 30 1996. The percentage of ADL dependent patient who cannot perform one item or more was 20.1% in men and 22.5% in women. The percentage of IADL dependent people who cannot perform one item or more was 72.1% in men and 56.2% in women. The prevalence of depression in female(68.8%) was higher than that in male(59.1%). There was statistically significant association between ADL score and other variables(sex, age religion, living with spouse, family resident, living expenses, self-rated health status, leisure, satisfactory of pocket money, drinking)(p<0.05). There was statistically significant association between IADL and other variables(age, education, living with spouse, family resident, living expenses, satisfactory of pocket money, smoking, self-rated health status)(p<0.05). The prevalence of depression in dependent elderly was significantly related with ADL in both genders(p<0.05), however, not related with IADL. In conclusion, the functional capacity dependency and the prevalence of depression in the rural elderly was high and depression was significantly related with ADL score.

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A Study on Perceived Family Support and the Quality of Life in the Elderly (노인의 가족지지와 삶의 질)

  • Shin, Dong-Sun;Hong, Chun-Sil
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.4
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    • pp.76-85
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    • 1997
  • In modern society, the human average life span has been prolonged due to medical benefits and changes in society, which results in the rapid and world -wide increase in the population of elderly. Consequently, the field of nursing science, as well as the field of many other discipline, has shown increasing interests in issues on the elderly. In addition, to improve the quality of life for elderiy people a great deal of effort has been made. The purpose of our study is to analyze the correlation between family support and quality of life in order to develop basic data for nursing interventions to maintain life satisfaction of the elderly. The sample consists of 108 subjects residing at home whose ages are over 65 years old. The data has been collected, from November 11, 1996 to November 23, 1996, through interviewing the elderly using a questionnarie. For the family supoort we used two: 1) the 5 - point Likert scale questionnarie developed by Gallo and Warren (Family support I) and 2) the 5-point Likert scale developed by H. S. Kang(Family support II), and for the quality of life we used the 3 - point likert scale questionnarie developed by Choi, Young Hee. For data analysis we used percentages, means, Pearson Correlation Coefficient and ANOVA. The results of our study are as follows: 1. For perceived family support I & II, the minimum score is 12 & 19, the maximum score is 32 & 46, the mean score is 24.49 & 34.90, respectively. 2. For Quality of life, the minimum score is 13, the maximum score is 39, the mean score is 28.61. 3. there is a very strong correlation between the perceived family support of the subjects and Quality of life (for I r=0.35047, p<.001 and for II r= 0.60558, p<.001). 4. The relationship between the general characteristics of the elderly and our two variables. family support and Quality of life, is as follows: 1) According to age(for II F=5.32, p<.01), the amount of monthly pocket money(for II F= 3.52, p<.05), inmate(for I F=2.93, p<.05, for II F=2.84, p<.05), economics(for I F=8.99, p<.01. for II F=7.51. p<.01), supporter(for I F=4.01. p<.01. for II F=3.43, p<.01), there is a statistically significant difference in family support. 2) According to the amount of monthly pocket money(F=6.69, p<.01), inmate(F=2.24, p<.05), economics(F=15.38, p<.01), there is a statistically significant difference in Quality of life. In conclusion, it can be said that the family support is an important variable to the Quality of the elderly life.

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A Study on Meal Management and Nutrient Intake of the Elderly (노인의 식생활 및 영양섭취상태에 관한 연구)

  • 홍순명;최석영
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.25 no.6
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    • pp.1055-1061
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    • 1996
  • This study was conducted to assess meal management and nutrient intake of 357 elderlies in Ulsan. 114 male and 243 female elderlies over 65 year old were recruited from July 5 to August 13, 1995. Questionnaires for general characteristics of the subjects(such as family size, living cost, pocket money and health condition) and for meal management were used. The levels of depression and anxiety were measured by CED-S and Spielbuger's STAI-S, respectively In addition, nutrient intakes were conducted by convenience methods. Nutrient intake of male and female showed the average daily intake of energy, Protein, vitamin A, vitamin $B_2, $ and vitamin C were lower than Korean recommended dietary allowances(RDA). But other nutrient intake were higher than RDA except that calcium intake of female was lower. Most nutrient intakes were positively correlated with family size, living cost, pocket money and health condition. Depression and anxiety scores were also negatively correlated with most of nutrient intakes. The pattern of meal management could predict nutrient intakes as expected : regularity and pleansantness of eating were positively correlated with nutrient intakes, whereas unbalanced meal and eating lonely were negatively correlated with them.

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Health Status of Elderly Persons in Korea (한국노인의 건강상태에 대한 조사연구)

  • 최영희;김문실;변영순;원종순
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.307-323
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    • 1990
  • This Study was done to design and test an instrument to measure the health status of the elderly including physical, psychologyical and social dimensions. Data collection was done from July 18 to August 17, 1990. Subjects were 412 older persons in Korea. A convenience sample was used but the place of residence was stratified into large, medium and small city and rural areas. Participants located in Sudaemun-Gu, Mapo-Gu, and Kangnam-Gu, Seoul were interviewed by brained nursing students, and those in Chungju, Jonju, Chuncheon, and Jinju by professors of nursing colleges. Rural residents were interviewed by community health practioners working in Kungsang-Buk-Do, Kyngsang- Nam - Bo, Jonla Buk -Do, and Kyung Ki- Do. The tool developed for this study was a structured questionnaire based on previous literature and then tested for reliability and validity. This tool contained 20 physical health status items, 17 mental-emotional health status items and 38 social health status items. Physical health status items clustered in to six factors such as personal hygiene, activity, home management, digestive, sexual, sensory, and climination functions. Mental-emotional health status items clustered into two factors, mental health and emotional health. Social health status items clustered into seven factors, grandparent, parent, spouse, friend, kinships, group member and religious role functions. Data analysis included percentage, average, S.D., t-test and ANOVA. The results of the analysis were as follows : 1. The tool measuring the health status of the elderly and developed for this research had a relatively high reliavility indicated by a cronbach=0.97793. 2. Average score of the subjects physical health status was 4, 054 in a 5 point likert scale, mentalemotional health status was 3.803, social health status was 2.939 and the total average was 3.521. The social status of the subjects was the lowest and the next was mental-emotional health status ; physical health status was the highest. 3. Educational background, perceived health status, the amount of pocket money were related to physical and mental-emotional health status and family structure was related mental-emotional physical and social health status. Occupation was related to physical and mental-emotional status. Area of residence was related to metal-emotional and social status. Source of living in the expeneses was related to physical and mental-emotional health status marital status to mental-emotional and social health status, and the number living in the home physical health status and religion to social health status. The following conciusions were derived from the above results ; 1. The health status of Korean elderly was relatively sound but social health status was the most vulnerable. The Social activity for Korean elderly is needed to improve social health. 2. Educational background, perceived health status and the amount of pocket money must be considered in the health assessment criteria of the elderly, Family structure, marial status, occupation, residence variables and sources of living expense must also be considered as significant. 3. A health education program based on the educational background of the elderly, and provision of an occupational socioeconomic welfare policy will be useful in order to increase social health status of Korean elderly.

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Determinants of Health-Promoting Behavior in the Elderly (노인의 건강증진행위와 관련된 변인에 관한 연구)

  • Kim Hyo-Jung;Park Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.283-300
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    • 1997
  • This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.

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