• Korean Journal of Adult Nursing
• /
• v.16 no.3
• /
• pp.470-479
• /
• 2004

Purpose: The purpose of this study was to identify an influence of self-esteem and familysupport on powerlessness of hospitalized elderly patients with chronic disease. Method: The subjects were 151 hospitalized elderly patients, age over 60, with chronic disease and admitted for at least 1 week. The data were collected by individual interview using a structured questionnaire during the period from July 10th to August l0th, 2003 from three general hospitals in Busan. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, hierarchical multiple regression. Result: The level of self-esteem, family support, and powerlessness was 38.00, 38.26, and 38.38, respectively. There was a significant positive correlation between self-esteem and family support and a negative correlation between self-esteem and powerlessness and between family support and powerlessness. Self-esteem and family support were each significant predictor of powerlessness. Conclusion: This study showed the hospitalized elderly patients need greater family-support and higher self-esteem to relieve the level of powerlessness. I suggest to study for replication in a larger sample size and considering the lengths of hospitalization for generalization of this study and to develop individual intervention programs for increasing family support and self esteem and testify their effects on the relief of powerlessness of the elderly.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.6 no.1
• /
• pp.48-63
• /
• 2000

This study was designed and undertaken to find out the degree of powerlessness, perception of health and cognitive level of elderly home residents and to determine the factors influencing powerlessness, perception of health and cognitive level. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E. Chung(1998), the other for measuring perception of health was a self-rating scale defined by Mossey & Shapiro (1982), and the tool for measuring cognitive level was developed by Kahn, Goldfarb, Pollack and Peck(1960). Data were analysed for percentage, mean, t-test, and ANOVA using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, perception of health and cognitive level was scored above the median. 2. The degree of the elderly' powerlessness was statistically significantly different in three demographic variables; sex, one's state of health compared to other elderly' and living expense load. 3. Perception of one's health was statistically significantly different in four demographic variables; sex, marital status, educational level and monthly money. 4. Cognitive level of the elderly was statistically significantly different in three demographic variables; age, educational level and one's health of state compared to other elderly' health. In conclusion, the factors influencing the elderly' powerlessness, perception of health and cognitive level generally were age, sex, their economic independence, marital status, and educational level. Also, this study indicates that social welfare for the elderly could be effective in reducing their powerlessness and enhancing their health of state and cognitive level.

• The Korean Journal of Rehabilitation Nursing
• /
• v.7 no.2
• /
• pp.197-206
• /
• 2004

Purpose: This study examined the relationship between the level of activity daily living and powerlessness of spinal cord injury patients'. Method: The subjects for the study consisted of 68 persons agreed above twenty below seventy had had spinal cord injury. The data were collected from November 1, 2003 to January 30, 2004. The instruments used for this study were ADL check List and Powerlessness Scale. The data were analysed by using SPSS computerlized program and included number, percentage, t-test and ANOVA, Pearson Correlation Coefficient. Results: The mean of activity daily living was paraplegia $49.53{\pm}10.91$ and tetraplegia $25.65{\pm}13.24$. The mean of powerlessness was paraplegia $35.22{\pm}9.50$ and tetraplegia $37.55{\pm}9.01$. In the relationship between activity daily living and powerlessness were significant difference. Conclusion: in order to increase the level of activity daily living of rehabilization nurse should be helpful to provide them. Also, it could be identified that informational support was important, that is, the lesser the informational support, spinal cord injury patient don't feel the powerlessness.

• Research in Community and Public Health Nursing
• /
• v.8 no.1
• /
• pp.61-73
• /
• 1997

The purpose of this study was to identify the degree of perceived powerlessness and the factors which influence the powerlessness of the elderly. Data were collected by self-reported structured questionnare from 210 subjects living in Kwang-Ju and Che-Ju cities on 5th to 17th February 1996. Data were analyzed using statistical package SAS. The findings were as follows : 1. The mean scores of the degree of perceived powerlessness of the subjects were 58.90 out of 85. The elderly people in Kwang-Ju city perceived more powerlessness than elderly people of Che-Ju city. 2. The factors which influence the powerlessness of the elderly were age, gender, education level, living standard, spouse, former and present job, health condition, family support, social and recreational activities. From the results of this study, to alleviate the powerlessness of the elderly, with the efforts of health maintenance and promotion various community based social activities and support system should be developed for the elderly.

• The Korean Journal of Rehabilitation Nursing
• /
• v.11 no.2
• /
• pp.81-89
• /
• 2008

Purpose: The aim of this study was to explore the relationship between powerlessness, sense of belonging and nutritional status of the elderly. Method: The study sample was 100 living at home and institutions. Data were collected by interview from Oct. to Dec. in 2003. The instruments were helplessness scale developed by Jung (1998), sense of belonging scale SOBI-A and nutritional initial screening. Results: The mean score of powerlessness was $2.71{\pm}0.30$, sense of belonging was $2.87{\pm}0.19$ and nutritional status was $4.42{\pm}3.34$. There was a statistically significant differences in powerlessness according to age (F=3.185, p=0.027), health status (F=6.945, P=0.002), religion (F=5.941, P=0.001), current spouse (t=-0.384, p=0.026), in sense of belonging according to age (F=4.40, P=0.006), length of education (F=10.64, P=<.0001) and in nutritional status according to age (F=3.34, P=0.022), health status (F=2.86, P=0.027). There was a statistically significant correlation between powerlessness and nutritional status (r=0.219, p=0.029). Conclusions: Nurses are able to decrease powerlessness or increase sense of belonging and nutritional status of the elderly by developing the health promotion program, improving perceived health status and empowering social interaction of the elderly specifically living at institutions.

• Research in Community and Public Health Nursing
• /
• v.17 no.1
• /
• pp.65-73
• /
• 2006

Purpose: The purpose of this study was to identify the correlation between the feeling of powerlessness, social support and life satisfaction in the elderly. Methods: The subjects were 158 old people aged over 65 who were attending one of one college and three settlement houses for senior citizens located in B city. Results: The relationship between the feeling of powerlessness and life satisfaction was in a moderate negative correlation with each other (r=-.433, p=.000). The relationship between social support and life satisfaction was in a moderate positive correlation with each other (r=.410, p=.000). It was found that the higher social support was, the higher life satisfaction was. There was remarkable difference in the form of family (F=2.69, p=.023), the form of residence (F=5.29, p=.002), whether to belong to a group (F=2.26, p=.025). Conclusion: For the reasons stated above, as the feeling of powerlessness is lower and social support is higher, life satisfaction is higher. The results clearly show that in order to improve life satisfaction of the elderly, we need to ease their feeling of powerlessness and enhance social support to them. Therefore, it is necessary to develop a nursing intervention program to reduce powerlessness and to improve social support for the elderly.

• Journal of Internet of Things and Convergence
• /
• v.10 no.2
• /
• pp.115-124
• /
• 2024

This study aimed to examine the mediating effect of self-esteem on the relationship between clinical practice powerlessness and career identity among dental hygiene students with clinical practice experience in the IoT. A questionnaire was conducted on 172 dental hygiene students in a university located in Chungcheong area. For data analysis, Pearson's correlation analysis was conducted to exam the relationships between clinical practice powerlessness, self-esteem, and career identity. Baron & Kenny's three-step mediation analysis was used to investigate the mediating effect of self-esteem in the relationship between clinical practice powerlessness and career identity. The results of this study showed that the clinical practice powerlessness showed significant negative correlations with both self-esteem and career identity, and self-esteem showed a positive correlation with career identity. Partial mediating effects of self-esteem were found between clinical practice powerlessness and career identity. Thus, since self-esteem mediates the relationship between clinical practice powerlessness and career identity, it's essential to implement online-based programs aimed at increasing self-esteem among dental hygiene students before they participate in clinical practice.

• Research in Community and Public Health Nursing
• /
• v.15 no.2
• /
• pp.255-265
• /
• 2004

Purpose: The purpose of this study was to investigate the effects of group art therapy on old adults' powerlessness, loneliness. depression and self-image (for 55-year old or older people). Method: An experimental group of 10 persons were given group art therapy for 1 hour per week for 8 weeks. Results: The result of this study showed that group art therapy is effective in decreasing older adults' powerlessness (p<0.05) and their loneliness and depression (p<0.05). However, there was no significant difference in the score of loneliness (p>0.05). A tree test was executed to analyze self-image change. and the result of the tree test showed a significant change in the tree shape. which mean a significant positive change in self-image. Conclusions: The scores of older adults' powerlessness, loneliness and depression were lowered by the group art therapy. Therefore it is thought that group art therapy program was an effective intervention for improving older adults' quality of life. Thus, this study suggests to apply group art therapy as a supportive nursing intervention in order to manage powerlessness, loneliness, depression and self-image in old low-income adults.

• Journal of Korean Public Health Nursing
• /
• v.13 no.2
• /
• pp.143-160
• /
• 1999

The purpose of this descriptive survey study was to examine the following items. 1) Score distribution of life satisfaction. powerlessness. perceived health status and self-esteem 2) Demographic characteristics and the affection of socioeconomic characterictics to life satisfaction. powerlessness. perceived health status and self-esteem 3) Correlationship between life satisfaction. powerlessness. perceived health status and self-esteem 4) Determining the factors affecting life satisfaction The subjects were 167 urban elderly people. Data were collected from May to July in 1998 using the questionaires. The data were analyzed by mean. ANOVA. Pearson correlation coefficient and stepwise multiple regression with SPSS win 7.5 program. The results were as follows : 1) The degree of life satisfaction and powerlessness were relatively low with the mean score of 42.4 and 39.79 respectively. and perceived health status and self-esteem were relatively high with the mean score of 3.15 out of 5 and 27.3 respectively. 2) There were no significant differences between demographic characteristics and life satisfaction. Education(F=2.91. p=0.02), previous employment(F=2.23. p=0.03) and marital status(F=3.85. p=0.04) showed significant differences in the relationship between demographic characteristics and powerlessness. Sex(F=6.40. p=0.0l). education(F=3.30. p=0.0l). marital status(F=7.13. p=0.008) and kinds of living togather(F=3.69. p=0.003) showed significant differences in the relationship between demographic characteristics and perceived health status. There were no significant differences between demographic characeristics and self-esteem. 3) Monthly allowance(F=3.68. p=0.007). participation in social activity(F=5.90. p=0.000) and number of social activities(F=5.27. p=0.000) showed significant differences in the relationship between socioeconomic characteristics and life satisfaction. Monthly allowance(F=3.13. p=0.01) and number of social activities(F=2.7. p=0.02) showed significant differences in the relationship between socioeconomic characteristics and powerlessness. There were no significant differences between socioeconomic characteristics and perceived health status. Montly allowance(F=4.82. p=0.001). particpation in social activity(F=2.90. p=0.02) and number of social activities(F=3.79. p=0.003) showed significant differences m the relationship between socioeconomic characteristics and self-esteem. 4) Powerlessness showed negative correltionship with perceived health staus(r=-0.295. p<0.001). self-esteem(r=-0.463. p<0.001) and life satisfaction(r=-0.514. p<0.001). Perceived health status showed positive correltionship with self-esteem(r=0.312. p<0.001) and life satisfaction (r=0.377. p<0.001). Self-esteem showed positive correlationship with life satisfaction(r=0.652. p(<0.001). 5) The predicting variances for life satisfaction m elderly people were self-esteem. powerlessness. participation in social activity and perceived health status. The most influencing factor among the variances was the self-esteem$(42.5\%)$ and powerlessness was the second. Both of self-esteem and powerlessness accounted for $48.2\%$ in life satisfaction. The addition of participation of social activity and perceived health status accounted for $52.9\%$ in life satisfaction.

• Research in Community and Public Health Nursing
• /
• v.24 no.1
• /
• pp.29-39
• /
• 2013

Purpose: The purpose of this study is to investigate levels of stress, self-esteem, and powerlessness in Korean husbands married to foreigner wives. Methods: The subjects were 183 Korean men who were living with foreigner wives in the Gwangju, Jeonnam and Jeonnbuk areas. Data were collected from January to May 2012 and analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffe$\acute{e}$ test, Pearson's correlation coefficient, and backward multiple regression with the SPSS PC WIN version 18.0. Results: The average level of stress was 4.48, with difficulties in international marriage experienced by the subjects due to differences in language and culture. The average reported self-esteem score was 29.69, and the average powerlessness score 117.76. There were significant differences in perceived powerlessness depending on the employment statuses, income levels, and nationalities of the participants' wives, and their perceived levels of satisfaction with living with a foreigner wife. Powerlessness was positively correlated with stress (r=.41, p<.001), and negatively correlated with self-esteem(r=-.63, p<.001). The factors affecting the perceived powerlessness included self-esteem (${\beta}$=-.54, p<.001), stress (${\beta}$=.28, p<.001), lower income (${\beta}$=.13, p = .016), and working wife (${\beta}$=.12, p = .036). Conclusion: Healthcare providers need to explore strategies to improve self-esteem and powerlessness in Korean men married to foreigner wives.