• 보건의료산업학회지
• /
• 제8권3호
• /
• pp.169-179
• /
• 2014

The aim of this study was to understand the factors related to depression according to gender in vulnerable elderly. We conducted a cross-sectional study with 1,709 elderly beneficiaries of the visiting health care program in Seoul. Depression was measured using the Geriatric Depression Scale Short Form Korea Version(GDSSF-K) questionnaire. Depression score was mild level in vulnerable elderly. There was no gender difference in depression level. Factors related to depression differ by gender. In the elderly men, higher depression showed significant correlation with a lower level of health-related quality of life(HRQOL) and self-rated health(SRH). In addition, higher depression was observed for elderly men living alone than for those living with family. These factors explained depression by 23.1%. In the elderly women, higher depression showed significant correlation with a lower level of HRQOL, SRH and a higher dependence of instrumental activities of daily living. In addition, higher depression was observed for elderly women who has fall experience. These factors explained depression by 22.8%. Gender-specific nursing strategies may be required for prevention of depression in vulnerable elderly.

• 국제물리치료학회지
• /
• 제1권1호
• /
• pp.5-9
• /
• 2010

The purpose of this study is to investigate the effects of group exercise program on depression in the elders with dementia. Subjects of this research were selected from the patients of Hyoja hospital(Yongin, Korea). They were elders with dementia having minor to moderate degrees of cognitive function. Twenty-four subjects were randomly assigned into two groups, each with 12 people; exercise group and the control group. The control group only performed general physiotherapy, while the exercise group performed exercise program and general physiotherapy for 8 weeks. Depression of the exercise group and the control group were measured at baseline before the study, at 4 weeks, and at 8 weeks after the study. Depression was measured by Geriatric Depression Scale Short Form Korea Version(GDSSF-K). Firstly, when comparing the levels of depression within the same group, depression was significantly lower in the exercise group, after the group exercise program. However, depression of the control group did not show significant changes before or after the study. Secondly, when comparing the levels of depression of the control group and the exercise group, differences between the levels measured before the study and 8 weeks after the study, was a statistically significant decrease of depression. Thirdly, effects of group exercise program according to the applied period were analyzed showing 8 weeks of group exercise to be more beneficial than 4 weeks. People who performed continuous group exercise program showed decrease in depression compared to the absence of group exercise program. This can infer beneficial effects of group exercise program. Group exercise program had desirable influence on decreasing the level of depression.

• Physical Therapy Rehabilitation Science
• /
• 제11권4호
• /
• pp.391-399
• /
• 2022

Objective: This study aimed to investigate the effects of fall-prevention exercise programs on fall efficacy, depression and health-related quality of life in elderly. Design: a randomized controlled trial Methods: A total of 57 participants over 65-years-old have been allocated to control and experimental groups. The experimental group received 8 weeks of fall-prevention exercises that included strengthening of lower extremities, balance and gait training. They received the exercises twice a week for 50 minutes as a group.Both groups were assessed using Modified Falls Efficacy Scale (MFES), Geriatric Depression Scale (GDS), and 36-Item Short-Form Health Survey (SF-36) prior and post to the intervention. The control group also received the same exercise program after the post evaluation. Results: The experimental group showed overall improvement in MFES, GDS, and physical components of SF-36 (p<0.05). The MFES was significantly increased in the experimental group after the intervention (p<0.05). The GDS was significantly decreased in the experimental group after the intervention (p<0.05). The SF-36, only physical Function, Role limitations due to physical health, general health, and energy and fatigue categories were improved in the experimental group after the intervention (p<0.05). Conclusions: The results showed 8 weeks of fall-prevention exercise programs can increase fall efficacy and physical related quality of life while reducing depression of elderly over 65.

• 성인간호학회지
• /
• 제22권6호
• /
• pp.676-686
• /
• 2010

Purpose: This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. Methods: A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. Results: 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction ($R^2=.57$), while self esteem in itself explained 45% of variance in depression. Conclusion: These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

• Journal of Korean Biological Nursing Science
• /
• 제17권4호
• /
• pp.287-296
• /
• 2015

Purpose: The purpose of this study was to identify the influence of physical activity and depression on sleep quality among the young-old and old-old community-dwelling elderly. Methods: Participants were 216 community-dwelling older adults in Korea aged 65 or above. Data were collected using structured questionnaires with face-to-face interviews that included demographic and health-related characteristics, International Physical Activity Questionnaires (IPAQ), the Short Form Geriatric Depression Scale (SGDS) and the Pittsburgh Sleep Quality Index (PSQI). A hierarchical multiple regression was conducted to examine whether physical activity and depression would predict sleep quality under other controlled factors. Results: There were differences in demographic and health-related characteristics, physical activity, and depression by age groups, but not in sleep quality. In the young-old elderly, physical activity (${\beta}=-0.22$, p=.043) and depression (${\beta}=0.31$, p=.002) were significantly associated with sleep quality (F=4.46, p=.001, Adjusted $R^2=.16$). In the old-old elderly, physical activity (${\beta}=-0.29$, p=.001) and depression (${\beta}=0.41$, p<.001) were significantly associated with sleep quality (F=10.79, p<.001, Adjusted $R^2=.29$). Conclusion: These finding highlight physical activity and depression as important contributors to sleep quality in both young-old and old-old elderly.

• 지역사회간호학회지
• /
• 제29권3호
• /
• pp.257-266
• /
• 2018

Purpose: The study has been conducted to identify factors affecting the participation in leisure activities by elderly women living alone. Methods: Data were collected through a questionnaire survey among 150 elderly women in Seoul and Gyeong-gi Province. The measurement tools that were used include participation in leisure activities, perceived health status, Geriatric Depression Scale Short Form-Korea (GDSS-K), psychological well-being scale, and loneliness scale. The data were analyzed by using the Pearson correlation coefficients, t-test, analysis of variance ANOVA, and stepwise multiple regression with the SPSS/windows version 21.0 program. Results: The analysis shows that the affection for participation in leisure activities of the elderly women living alone who participated in the questionnaire survey is significant (F=14.6, p<.001). The value of the adjusted $R^2$ is 0.55, which accounts for the explanatory power of 55.4%. The predictor that has been found to have the greatest influence on the participation in leisure activities by the elderly women living alone include perceived health status, followed by monthly allowance (10,000 won), psychological well-being, economic status, religion, depression, family structure, and loneliness. Conclusion: The results suggest that in developing nursing interventions and practice for the participation in leisure activities by elderly women living alone, perceived health status, psychological well-being, depression, and loneliness should be considered.

• 대한통합의학회지
• /
• 제7권4호
• /
• pp.53-59
• /
• 2019

Purpose : The purpose of this study was to determine the influence of the elastic-band exercise program for elderly who over 65 years old in terms of depression and physical self efficacy. We aim to suggest interventions with an elastic-band exercise program for elderly. Methods : The study subjects selected were females or males 65 years old or more who could walk without assistance and could talk about daily living without mental or physical disorders. A total of eight subjects understood the purpose of this study and agreed to participate. Before and after the exercise program, the subjects were monitored for changes in their physical self-efficacy and depression. To measure the physical self-efficacy, we used a perceived physical ability scale and physical self-presentation confidence scale (Cronbach α =0.942). To measure depression, we used the geriatric depression scale short form (Korea version, Cronbach α =0.969). The data obtained from each measure were analyzed using the Wilcoxon signed rank test to determine changes from before and after the exercise program. The program consisted of three parts (warm-up, main exercise and cool-down) and included the upper extremities, the lower extremities and trunk exercises with an elastic band (yellow and red). The program lasted for 15 weeks, once a week, with each session lasting for 60 minutes. Results : After 15 weeks of the elastic-band exercise program, there was a significant decrease on the depression scale (p<0.05) and significant improvements on the physical self-efficacy scale (p<0.05). Conclusion : Based upon our results, we demonstrated that the exercise program using the elastic band was effective in improving the depression and physical self-efficacy of the elderly.

• Journal of Korean Biological Nursing Science
• /
• 제17권1호
• /
• pp.44-49
• /
• 2015

Purpose: This research was aimed at evaluating the differences in depression by skinfold thickness, and the relationship between two variables. Methods: Research design was a non-experimental descriptive survey. Using a caliper, we measured skinfold thickness on the triceps, and then on the suprailiac, and the mid-thigh. Depression was evaluated using the Geriatric Depression Scale-Short Form (GDS-SF). Data were collected for one month from Sept 1st to 30th, 2011. There were 52 subjects, 25 of which were from elderly welfare centers and 27 were hospitalized. Results: Subjects were an average age of $76.4{\pm}4.45$, and the incidence rate of depression (${\geq}6$) was 36.5% and those who had a sum of 3 skinfolds over 62 mm were 22.7%. The GDS-SF was significantly different in only the suprailiac skinfold thickness (F=7.25, p<.05). Conclusion: Findings indicate that depression is different based on suprailiac thickness in older adult women at elderly welfare centers and those who were hospitalized in an medical ward. It suggests that the suprailiac skinfold may be an indicator of abdominal obesity when considering depression in elderly women. Further study is needed to evaluate a cutoff score of skinfold thickness in obesity for older adult women.

• 지역사회간호학회지
• /
• 제27권1호
• /
• pp.1-8
• /
• 2016

Purpose: The purpose of this study was to examine the depression and cognitive function of community-dwelling older adults. Methods: 243 aged over 65 in Won-Ju in South Korea participated in this study. Data were collected from April to June 2013 through interviews. This study utilized the Geriatric Depression Scale Short Form, the Korean version of MMSE-DS (MMSE for Dementia Screening), and infirmity testing for basic health status. Descriptive statistics, ${\chi}^2$, t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, and Pearson's correlation coefficient were used. Results: 75.3% of the participants belonged to the depression group, and the prevalence of cognitive impairment was 17.3%. There were significant differences in depression and cognitive function according to gender, educational level, type of insurance, subjective health, frailty, and whether to be a client of home care service. The level of depression was significantly higher and the level of cognitive functions was significantly lower in older adults in home care services than in community-dwelling older adults. Conclusion: This study is meaningful in that it included older adults in home care services to provide information to develop effective prevention programs for improving cognitive functions. The results of this study can be used to develop future community prevention and intervention.

• 근관절건강학회지
• /
• 제25권3호
• /
• pp.167-175
• /
• 2018

Purpose: The aim of this study was to test the effects of passive exercise on upper extremities muscle spasticity, finger edema, and depression for chronic stroke patients. Methods: A non-equivalent pretest-posttest design was employed for this study. The subjects were 30 elderly patients who were hospitalized to treat chronic stroke. 15 patients were assigned to the experimental and control groups respectively. Passive exercise for 20 minutes per day, five days a week for 8 weeks (total 40 times) was provided for the experimental group. Outcome measurements included manual spasticity test to measure upper extremities' muscle spasticity, the ring measurement method for finger edema and the Korean version of Short-form Geriatric Depression Scale (SGDS-K) for depression. Results: The upper extremities' muscle spasticity (Z=-2.52 p=.012) and the degree of depression (F=5.56, p=.006) in the experimental group were significantly reduced compared to those of the control group. But the degree of finger edema did not significantly differ between the two groups (F=1.46, p=.240). Conclusion: Passive exercise for upper extremities should be encouraged for elderly patients with chronic stroke to enhance the upper extremities' functional capacity as well as depression.