• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.168-176
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• 2020

Objectives : Loneliness and poor sleep quality are common phenomena in old age and are associated with negative physical and mental health. However, little is known regarding the relation between loneliness and sleep quality. The aim of this study was to examine the association of loneliness and sleep quality among the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,090 subjects who are the community-residing elderly living alone. Sociodemographic status, medical condition, cognition, mood disorder, sleep quality and levels of loneliness were collected using a self-administered questionnaire and a specific semi-structured interview conducted by trained nurses. Descriptive statistics were used to analyze data regarding sociodemographic variable and loneliness. Univariate and Multivariate regression analyses were applied to examine the association between loneliness and sleep quality after adjustment for multiple confounding variables. Results : The Pittsburgh Sleep Quality Index (PSQI) mean score of "lonely group" (9.2±4.2) was significantly higher than that of "not lonely group" (7.3±3.7) (student-t test, p<0.001). Loneliness was significantly associated with PSQI (standardized β=0.065, p=0.025), sleep disturbance (standardized β=0.086, p=0.005), use of sleep medication (standardized β=0.065, p=0.034) after adjustment for possible confounding variables including sex and mood disorder. Conclusions : Loneliness was associated with sleep disturbance and this finding implied negative impact of loneliness on sleep quality of older adults. Public health promotion efforts to reduce loneliness may improve sleep quality and mental health in the elderly living alone.

• Research in Community and Public Health Nursing
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• v.29 no.3
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• pp.257-266
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• 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.

• Korean Journal of Adult Nursing
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• v.16 no.1
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• pp.17-26
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• 2004

Purpose: This study was to identify factors that influence the life satisfaction of solitude elderly. Method: The subject were 100 homebound the elderly living alone(age=76.58) who were live in M city located in Jeollanamdo. Data were collected from June 1 to September 30, 2002. The instrument used for this study were a survey of general characteristics, residential environment, MUNSH, Health Self-rating scale, ADL, loneliness and POMS. The data was analyzed using descriptive statistics, t-test, and stepwise Multiple Regression. Result: In general the perceived health status was poor, but ADL was moderate., loneliness was high but mood and life satisfaction were low. In regression analysis, life satisfaction was significantly influenced by mood(51%), ADL(4%), loneliness(3%), and perceived health status(1%). These variables explained 59% of the variances in the life satisfaction. Conclusion: The result suggests that health care professionals should give more attention to helping the elderly raise their life-satisfaction. A further study is necessary to find out an effective nursing intervention for a better those in a comfortable residential environment, decreasing the loneliness and to promoting the mood for those elderly who live alone.

• The Journal of Industrial Distribution & Business
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• v.8 no.4
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• pp.23-35
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• 2017

Purpose - This paper aims to obtain a theoretical understanding for the relationship among the elderly's leisure activity, social support, life satisfaction and mental loneliness in their life. This paper has the purpose to draw policy implications by the course of research and study as well as to find alternatives in enhancing the elderly's psychological well-being in a practical dimension. Research design, data, and methodology - Data has been collected from 380 elderly persons participating in leisure activities in 10 senior welfare service centers located in the Seoul area. A structured questionnaire sheet was used, and as the main analysis method for hypothesis verification, the hierarchical regression method was used. Results - Social support is moderating factor for the relationships among the productive leisure activity, life satisfaction and mental loneliness, but does not play the moderating role in the relationships such as consumptive leisure activity, life satisfaction and mental loneliness. Conclusions - It is necessary to make efforts to provide policies for promoting and expanding the elderly's participation especially in productive leisure activity. And also, an institutional support should be provided for maintaining and expanding a stable social relationship network for the elderly's participation.

• Journal of Industrial Convergence
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• v.21 no.5
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• pp.51-58
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• 2023

The purpose of this study is to analyze suicidal ideation of elderly people with diabetes living alone and to investigate the relationship between suicidal ideation, loneliness, and depression. This study was conducted through secondary data analysis using total survey data for the elderly living alone in O province. The subjects of this study were 466 elderly people who were diagnosed with diabetes among the elderly living alone. The data of this study were analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, multi-linear regression analysis, and the three-step mediating effect verification procedure of Baron & Kenny using the SPSS 26.0 program. The average loneliness score and average depression score of the subjects were 4.52±3.30 and 4.88±4.03, respectively, and 27.3% of the subjects said they had a suicidal ideation. The subject's loneliness (β=.20, p=.005) and depression (β=.30, p<.001) was found to be a significant factor in predicting suicide ideation. In addition, depression was found to be partially mediated in the relationship between loneliness and suicidal ideation. Through the results of this study, loneliness and depression were found to be important factors related to suicidal ideation in the elderly with diabetes living alone. In addition, in order to improve suicidal ideation in the elderly with diabetes living alone, intervention to lower the level of loneliness and depression is necessary.

• 한국노년학
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• v.31 no.4
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• pp.925-938
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• 2011

In this study, we investigated the effects of ageism experience of the elderly on depression, where the loneliness was mediated between ageism experience and depression. To investigate the cause and effect of factors, we purposively collected 309 samples from 16 Gyungrodangs evenly located in Jeonju and 291 samples, survived the data screening such as missing values, outliers, normality and covariance conditions, were analyzed by frequency, factor analysis, reliability, confirmatory factor analysis and structural equation model analysis. As the results, first, we confirmed ageism experience positively affected depression of the elderly. Second, ageism experience of the elderly also positively affected loneliness. Third, loneliness positively influenced depression. Fourth, ageism experience had effects directly as well as indirectly on depression medicated by loneliness. Based on the results, in the aged society, combating law, policy, and propaganda against ageism would be helpful to the elderly and individually customized program for ageism victim's mental health would be recommended.

• The Journal of Korean Academic Society of Nursing Education
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• v.21 no.4
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• pp.499-508
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• 2015

Purpose: This study was conducted in order to determine the extent of ego integrity and to confirm the association between the sense of ego integrity and integrated loneliness, social support, and social activities. Methods: For this study, 146 elderly people participated. The data was analyzed with SPSS/WIN 21.0, using descriptive statistics, t-test, ANOVA, correlation analysis, and hierarchical regression analysis. Results: In regards to differences between ego integrity according to general characteristics of subjects, there was a statistically significant difference in education (F=4.13, p=.007). In elderly living alone, ego integrity was significantly positive correlated with social support and social activities, but negative correlated with loneliness. These variables explained 43.2% of the sense of ego integrity. Conclusion: The study suggested that nursing programs and social activity programs designed to aid the elderly living alone must focus on reducing loneliness, as well as increasing social support and social activities, while taking education into consideration. Also, these programs should strive to build social support systems.

• Journal of muscle and joint health
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• v.17 no.2
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• pp.151-161
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• 2010

Purpose: The purpose of this study was to identify the effect of Tai Chi exercise on loneliness, sleep pattern, and instrumental activities of daily living in elderly women. Methods: A quasi-experimental design, a nonequivalent control group pretest-posttest was used. Elderly women who agreed to participated in the study were assigned into an experimental group (n=20) or a control group (n=20). The experimental group participated in Tai Chi exercise program (Sun-style 12 forms) for 50 minutes per session, 2 times a week for 8 weeks. Tai Chi exercise program consisted of 10 minutes for warm-up, 35 minutes for main session, and 5 minutes for cooling down. Study outcomes were measured through study questionnaires. Data were analyzed using Chi-square test, t-test and Mann-Whitney test by SPSS WIN 14.0 program. Results: Compared with the control group, the experimental group showed significant improvement in loneliness (t=-2.733, p=.009), sleep pattern (t=2.552, p=.015), and instrumental activities of daily living (z=-2.171, p=.030). Conclusion: Tai Chi exercise program may be an effective nursing intervention for elderly women.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.10
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• pp.6679-6687
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• 2015

purpose : The purpose of this study was examine the effect of self-transcendence and loneliness on quality of life of the elderly. Method : This was a descriptive survey study. The subjects was 171 elderly persons. Descriptive statistics, Pearson's correlation, and stepwise multiple regression were used in analysis of data. Results : Average score were 2.7 for self-transcendence, 2.0 for loneliness, and 3.0 for quality of life. Statistically significant positive correlations were observed between quality of life and self-transcendence. however, from the statistical point view, significantly negative correlation was observed between quality of life and loneliness. self-transcendence, economic status, general health status, loneliness and spouse were significant predictors of quality of life. Conclusion : This study will provide basic information for use in development of a program to encourage a quality of life for elderly persons.

• The Journal of the Korea Contents Association
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• v.12 no.4
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• pp.235-244
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• 2012

This study aims to examine how the elderly's internet use affects changes in life, loneliness, self-esteem factors, and life quality. According to the research result, it was found that the elderly's loneliness has a series of relationships with internet use. In other words, the basic model of the initial research suggests as in previous research a hypothesis that internet use relieves the elderly's loneliness; however, according to the final analysis result, the elderly's loneliness is rather a motive that makes them use internet. Also, it was analyzed that as the old's self-esteem gets higher, they show higher satisfaction with their life quality, and internet use affects the improvement of their self-esteem greatly. According to the result of estimating the final model, it was found that the factors of life changes resulted from internet use and influence on the improvement of their self-esteem were far stronger than other variables. Therefore, to improve the old's life quality, it is needed to increase the old's self-esteem, and for improving self-esteem, it will bring a great effect to use the media of internet.