• Journal of Korean Academy of Rural Health Nursing
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• v.13 no.1
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• pp.3-19
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• 2018

Purpose: This study was done to identify effects of preparation for death and depression on geriatric quality of life in rural communities and to identify whether preparation for death has a moderating effect on the relationship between depression and geriatric quality of life. Methods: Data from 210 rural elders over 65 years of age were obtained through face-to-face interviews with the elders and were analyzed using SPSS 22.0 program. Results: Quality of life of elders who had prepared for death was lower than for elders who had not prepared for death. Elders with higher psychological preparation for death had a higher quality of life. Ritual preparation for death had negative effects but they were not statistically significant. Psychological preparation for death had a moderating effect on depression and quality of life for elders in the rural community. The explanation power was 36.1% while ritual preparation for death had no moderating effect on either depression or quality of life. Conclusions: It is necessary to provide rural elders with intervention programs designed to improve positive thinking and attitudes to living considering religion in the process. Intervention programs to improve psychological preparation for death are also required to alleviate depression.

• Journal of Korean Academy of Rural Health Nursing
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• v.2 no.1
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• pp.60-69
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• 2007

Objectives: This study was done to identify health and functional status of rural elders, to identify the use of health and medical treatment and welfare services in order to present directions for improving use of health and welfare services by rural elders. Methods: The participants in the study were 170 elders over 65 years of age who live in the one of the 6 villages served by the Young Am Community Health Post. The elders were visited at home and interviewed the elders using the RAI tool. Descriptive statistics including frequency and range were used to analyze the data. Results: Limitations in physical function, finances and medical treatment service were identified. Conclusions: The findings of this study indicate a need to develop good quality service which is affordable and convenient.

• Journal of Korean Academy of Rural Health Nursing
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• v.8 no.2
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• pp.53-63
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• 2013

Purpose: The purpose of this study was to identify leisure activities, health promotion behaviors, and quality of life and regional differences in urban and rural elderly people. Method: This study was a descriptive research and data were collected from 198 elderly people using a questionnaire. Data were analyzed using the PASW WIN 18.0 Program. Result: Urban elders showed significantly higher rate for leisure activities compared to rural elders. While urban elders did not show a significant relationship among leisure activities, health promotion behaviors, and quality of life, rural elders showed a significant relationship among leisure activities, health promotion behavior, and quality of life. While the leisure activities and health promotion behaviors were influenced by recreational and social life in the urban elders, these activities and behaviors had no influence for rural elders. Leisure activities and quality of life were influenced by watching and enjoying activities, services and religious activities, and recreational and social life for urban elders but health sports was an influence for rural elders. Conclusion: Findings indicate regional differences and provide basic information to develop programs and leisure guidelines to enhance leisure activities, health promotion behaviors, and quality of life according to regional characteristics of elderly people.

• Journal of Korean Academy of Nursing
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• v.43 no.3
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• pp.442-451
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• 2013

Purpose: This descriptive study was done to develop a predictive model of depression in rural elders that will guide prevention and reduction of depression in elders. Methods: A cross-sectional descriptive survey was done using face-to-face private interviews. Participants included in the final analysis were 461 elders (aged${\geq}$ 65 years). The questions were on depression, personal and environmental factors, body functions and structures, activity and participation. Decision tree analysis using the SPSS Modeler 14.1 program was applied to build an optimum and significant predictive model to predict depression in rural elders. Results: From the data analysis, the predictive model for factors related to depression in rural elders presented with 4 pathways. Predictive factors included exercise capacity, self-esteem, farming, social activity, cognitive function, and gender. The accuracy of the model was 83.7%, error rate 16.3%, sensitivity 63.3%, and specificity 93.6%. Conclusion: The results of this study can be used as a theoretical basis for developing a systematic knowledge system for nursing and for developing a protocol that prevents depression in elders living in rural areas, thereby contributing to advanced depression prevention for elders.

• Journal of Korean Academy of Rural Health Nursing
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• v.9 no.2
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• pp.59-70
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• 2014

Purpose: The present study was to done ascertain variables related to health-related quality of life (HRQOL) and their related factors in elders from urban or rural areas. Methods: Data were collected from raw material of the 2009 community health survey. Participants were 2,140 elders. Health related quality of life (HRQOL) was measured using EQ-5D. Data were analyzed with SPSS 13.0. Results: Mean EQ index score for urban elders was $0.78{\pm}0.23$, Mean EQ index score for rural elders was $0.82{\pm}0.16$. Rural elders had significantly higher EQ-5D index value compared to urban elders. The urban elder HRQOL model accounted for 33.6% of the variance due to depression, age, stress perception. The rural elder HRQOL model accounted for 23.5% of the variance due to exercising walking, skipping breakfast, depression in that order. In comparison, depression, skipping breakfast, livelihood, arthritis, stress perception, hours of sleep and age are strongly associated with HRQOL in both groups. Conclusion: Results indicate that significant differences in HRQOL between elders from the two areas and thus, confirm claims that welfare services for elders should be provided with consideration of the different needs of elders in the two areas, and in particular for addressing depression in elders.

• Journal of Korean Academy of Rural Health Nursing
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• v.1 no.1
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• pp.32-39
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• 2006

Purpose: The purpose of this study was to identify how heat therapy influences pain and sleep in rural elders who have osteoarthritis (OA). Method: A non-equivalent control group pretest-posttest design was used. Participants were 61 elderly farmers and they were assigned to an experimental group (31) or control group (30). The participants were living within the district boundaries of a public health clinic in North Choong Chung Province. The research was conducted from April 1, to 28, 2006. Results: The results of this study demonstrate that heat therapy is effective in reducing pain and promoting sleep in rural elders who have osteoarthritis. Conclusion: Heat therapy reduced pain, and improved sleep in rural elders, with osteoarthritis.

• Journal of Korean Academy of Rural Health Nursing
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• v.15 no.2
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• pp.41-48
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• 2020

Purpose: This study was a descriptive study to identify the factors affecting the dementia prevention behavior of elders in rural communities. Methods: The participants in this study were 125 elders aged 60 or older who lived in Eup or Myeon areas of P city. For data analysis, SPSS/WIN 22.0 was used to perform descriptive statistics, t-test, ANOVA, Pearson correlation, and linear multiple regression and mediated effects. Results: Scores for dementia recognition, dementia attitude and dementia prevention behavior averaged 5.6±2.50 points in the 0~11 range, 38.8±4.59 in 14~56 and 20.2±3.59 in 10~30 respectively. Dementia recognition (a), dementia attitude (b), dementia prevention behavior (c) and the number of chronic diseases of the elders (d) were positively or negatively correlated with each other (rab=.29, p<.01; rbc=.26, p<.01; rac=.36, p<.01; rad=-.29, p<.01; rcd=.19, p<.05). Factors affecting dementia prevention behavior were dementia recognition, dementia attitude, and degree of dementia interest. When the number of chronic diseases affects dementia prevention behavior, dementia recognition has a mediating effect. Conclusion: In order to prevent dementia among elders in rural areas, appropriate management of chronic diseases and provision of appropriate dementia-related education and information to enhance dementia recognition should be provided.

• Journal of Agricultural Extension & Community Development
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• v.18 no.3
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• pp.591-629
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• 2011

The purpose of this research is to examine how the village community centers are being used and find how to improve leisure activities of elders in rural areas by using them. In order to achieve the purpose of this research, we did convenience sampling from elders using 92 village community centers in one of the counties in Gyeong-gi province, and did field survey to 343 persons. The collected data was analyzed by SPSS 18 program, and the results are as follows: The survey on population sociological peculiarity of elders using village community centers shows that most of elders are over 70 years old. As for health conditions, there are more elders who are physically weaker than healthy elders. And the survey shows that most of the elders are suffering from illness such as hypertension, arthritis, neuralgia, and indigestion so such programs related to health are critically required. First, the survey on using village community centers by elders in rural areas shows that they think the village community centers are important for them and use them often. Most of respondents said that they use the village community center so as to meet friends, to enjoy leisure, and to spend time in rural areas where they have difficulty enjoying cultural facilities. Meanwhile, some people dislike to use the village community centers mainly because there is few programs for leisure or each one has a different personality or they don't have enough money to pay for the membership fee. Second, according to the survey on leisure for the elders in village community centers, there are few leisure programs. For men, they spend time by playing Baduk, Janggi, Hwatu and drinking. Meanwhile, women spend time by meeting with friends, listening to radio and TV watching. There are almost nothing to improve leisure activities such as hobby, recreation and health etc. Male elders using centers are suffering from health problems, economic difficulty, and lack of leisure activities, meanwhile, female elders are suffering from loneliness, health problems, and economic difficulty. Third, according to the survey on improving the leisure program of village community center, elders preferred health related programs to improve leisure activities. The most necessary leisure activities in village community center are hobby classrooms, health programs and group travelling. They preferred health related programs for leisure in village community center. Based upon the reality described above, improving the village community centers as leisure facilities is considered to be important for the welfare well of elders in rural areas.

• Journal of agricultural medicine and community health
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• v.45 no.1
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• pp.1-12
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• 2020

Purpose: The purpose of this study was to examine the mediating effects of depression on relationship between sense of loss and suicidal ideation among Rural Elders use Primary Health Care Post's Services. Methods: This study was conducted using a descriptive survey design. Participants were 345 rural elders use Primary Health Care Post's Services in Jeollanam-do. Data were collected from August 1 to 31, 2017 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. Results: There were significant positive correlations between sense of loss, depression and suicidal ideation. It was found that physical loss is very high and significantly different only subjective health status on suicidal ideation. Also, Depression partially mediated the relationship between sense of loss and suicidal ideation of Rural Elders. Addtionally, The results show that depression plays a key role in suicidal ideation of Rural Elders. Conclusions: Based on the present findings, nursing interventions should be developed to decrease depression, with additional consideration towards sense of loss, specially physical loss, in order to prevent suicidal ideation among Rural Elders use Primary Health Care Post's Services.

• Journal of Korean Academy of Rural Health Nursing
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• v.12 no.1
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• pp.3-11
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• 2017

Purpose: This study was done to investigate the status of drug misuse and abuse in community-dwelling elders. Methods: The participants in this study were elders who were 65 years or over, and lived in ChungNam province. Descriptive statistics were used to analyze the data. Results: All of the participants reported taking both prescription and non-prescription drugs, and 78.4% used two or more kinds of drugs. Of the elders, 74.5% reported that they did not receive any education about drug misuse and abuse. The mean score for behaviors related to drug misuse was 8.76. Conclusions: Results indicate that many elders take medicine frequently, but they do not have any knowledge about drugs and possible side effects. This lack of knowledge might mean that they continue to use and misuse prescription and non-prescription drugs. It is important that elders be provided with precise information about medicines.