• Title/Summary/Keyword: elderly support

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Self-efficacy and Family Support as Predictors of Depression in Elderly Patients admitted to Hospital (급성기 노인 입원 환자의 자기효능감과 가족지지가 우울에 미치는 영향)

  • Park, Byung Nam;Park, Jin-Hee
    • Journal of Home Health Care Nursing
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    • v.21 no.1
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    • pp.52-59
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    • 2014
  • Purpose: The purpose of this study was to identify the prevalence and the predictors of depression in elderly patients admitted to hospital. Methods: A sample of 157 subjects aged 65 and over was selected from a university hospital in Korea. Data were collected through self-reported questionnaires during the period from April to August 2012. The data were analyzed using t-tests, ANOVAs, Pearson's correlation coefficients, and multiple regressions with the SPSS/Win program. Results: The prevalence of depression was 54.8%; the mean score for depression was 17.30. Depression in elderly patients had a significant correlation with age, educational level, marital status, and perceived economy level from the demographic characteristics, self-efficacy, and family support. A hierarchical multiple regression analysis revealed that a combination of self-efficacy and family support accounted for 27% of the depression in elderly patients. Conclusion: The findings of this study suggest that programs designed to effectively prevent and manage depression among elderly patients should consider variables such as self-efficacy and family support.

Effects of Separated Children Support on Depression in One-Person Households of the Elderly (비동거자녀 지원이 1인가구 노인의 우울에 미치는 영향: 성별에 따른 비교)

  • Lim, Min Kyoung;Ko, Young-Mi
    • Journal of the Korea Convergence Society
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    • v.9 no.3
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    • pp.265-277
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    • 2018
  • This study examined if support from separated children as a factor of depression was distinguishable between male and female elderly individuals living in one-person households. This study analyzed data of 2,354 elderly individuals living in one-person households(407 males and 1,947 females) who were 65 years of age or older using data from the 2014 National Elderly Survey on Living Conditions and Need for Welfare. Employing logistic regression, IADL, self-rated health, and, friends were important for male elderly individuals living in one-person households, while self-rated health, friends, employment, chronic diseases, and emotional support from separated children were noticeable for female elderly individuals living in one-person households. To better understand the mental health needs by gender of elderly individuals living in one-person households, their differences in emotional support from separated children, should be considered.

The effects of symptoms of dementia elderly on the primary caregiver's depression : moderating effects of family support (치매환자의 증상정도가 주부양자의 우울에 미치는 영향 : 가족지지의 보호효과를 중심으로)

  • Park, Sun Won;Kwak, Ju Yeon
    • Journal of Family Relations
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    • v.21 no.3
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    • pp.3-23
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    • 2016
  • Objectives: The purpose of this study is to examine the effects of symptoms of dementia elderly on the primary caregiver's depression. In addition, moderating effect of family support was examined. Based on the results, the necessity for intervention in the level of social welfare as a way to mitigate primary caregiver's depression was suggested. Method: In order to accomplish these purposes, a total of 197 who are spouse and adult-children of dementia elderly using day care facilities or services in Seoul, Gyeonggi, Busan province, South Korea were utilized. Data were analyzed by frequency analysis and descriptive statistics, regression model analysis with SPSS 18.0. Results: In case of analysis results, the mean value was reported 0.9 out of four point about primary caregiver's depression and the mean value of family support was reported 3.34 out of five point. And besides, the analysis result of dementia elderly's symptoms showed that prevalence of depression/dysphoria were 62.2%, prevalence of aberrant motor were 61.3%, prevalence of apathy/indifference were 56.6%. Crucial findings are as follows: the symptoms of dementia elderly was significantly associated with the primary caregiver's depression. At the same time, family support significantly influenced lower level of the primary caregiver's depression. While, in the relationship between the symptoms of dementia elderly and the primary caregiver's depression, family support has a moderation effect by important protection factor. Conclusions: From these findings, the necessities to provide the care service for dementia elderly to help improve symptoms of dementia as well as the policy and service to manage the mental health of the family as primary caregiver were suggested. Also, the necessities to provide the family therapy program to improve the relationship with family members were suggested.

A Study on the Correlations among the Depression. Social Support and Quality of Life of the Elderly in Rural Areas (농촌 노인의 우울, 사회적 지지 및 삶의 질과의 관계)

  • Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.237-245
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    • 2004
  • Purpose: This study was to identify the relationships among the depression, social support and quality of life of the elderly in rural areas. Method: The subjects of this study were 199 people aged over 60 who had been living in three rural area. Data were collected through a questionnaire survey from the 10th of July to the 10th of August 2003. Collected data were analyzed using descriptive statistics, t-test, ANOVA. Duncan's multiple-range test, Pearson's correlation coefficient and multiple stepwise regression with SPSS & SAS. Result: The average depression score was 11.09. As for the score of social support by supporter, the score of spouse' support was 13.36 out of 18 points, children's support 13.27, friends' support 11.40, neighbors' support 10.21 and siblings' support 10.20. The average score of quality of life was 132.26 out of 220 points. As for the score of the sub-areas of quality of life, the score was highest in economic status(32.18) and lowest in neighbor relationship (16.42). The score of quality of life was negatively correlated with the score of depression (r=-.014) and positively with the score of social support (r=.338). The suitable regression from the results of the multiple regression analysis to investigate factors influencing quality of life was expressed by y=58.341-$0.361x_1$+$1.492x_2$ ($x_1$: social support, $x_2$: depression) and $R^2$=.327. Conclusion: These results suggest that elderly people in rural areas with high quality of life is likely to be low in depression and high in social support. Therefore, it is necessary to develop health promotion programs in due consideration of depression and social support in order to enhance the quality of life of elderly people in rural areas.

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The Role of Social Support for the Influences of Perceived Burdensomeness and Hopelessness on Suicidal Ideation of the Elderly (노인의 자살생각을 높이는 지각된 짐스러움과 절망감에 대한 사회적 지지의 역할)

  • Jeon, Young-Sun;Heo, Chang-Goo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.64-74
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    • 2019
  • The aims of this study were verifying the influences of social support(family, friend, community) on perceived burdensomeness and hopelessness and mediating effects of perceived burdensomeness and hopelessness between social support and suicidal ideation. In results, family support reduced suicidal ideation of the elderly through mediating role of perceived burdensomeness as well as serial mediating effect of perceived burdensomeness and hopelessness. Friend support reduced suicidal ideation of the elderly through parallel and serial mediating effects of perceived burdensomeness and hopelessness. Community support reduced suicidal ideation of the elderly through mediating role of hopelessness. Social support show not direct effect but indirect effect on suicidal ideation through reduction of negative influencing factor(burdensomeness, hopelessness). In conclusion, we proposed it were needed that various efforts which improve the relation between family members in the age of nuclear family and ageing era, social policy support which development social network of the elderly, and the efforts which keep informed the social policy support of the community.

A Comparative Study on Family Support, Self-esteem, and Health Status between the Institutionalized Elderly People and the Home-staying Ones (시설노인과 재가노인의 가족지지, 자존감 및 건강상태 비교연구)

  • Kim, Kwuy-Bun;Lee, Kyung-Ho
    • Journal of East-West Nursing Research
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    • v.5 no.1
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    • pp.36-49
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    • 2000
  • This study aims to provide the fundamental data for substantial nursing intervention in the elderly through a comparative appreciation on family support, self-esteem, and health status between the institutionalized elderly people and the home-staying ones. The subjects of this study are the institutionalized 108 elderly people of E and C Public Homes and the home-staying 109 elderly ones of O-Nho In Jeong(a kind of public recreational facilities for the aged) over the age of 65. The instruments for this research are based upon the tool(11 items, 5 points for each) for measuring family support developed by Choi, Young Hee(1984), a self-esteem scale done by Rosenberg (1965), the tools(20 items) for checking the health status of the elderly done by Lee, Young-Ja(1989). The sampling for this study has been carried on from July, 2000 until November, 2000. Questionnaire data were drawn up by personal interviews. The analyses of collected data are based on general characteristics calculated at the rate of 100 percentage to the average, t-test, ANOVA(some difference on a level with p<.05 being subsequently confirmed by DMR) for family support, self-esteem and health status, and Pearson Correlation to verify the hypothetical correlation among the subjects' family support, self-esteem and health status. The results of this study are as follows: 1. The difference between two groups in the light of family support, self-esteem and health status. (1) Family support - The rate of the family support that the institutionalized elderly people perceive turned out to be 22.13, that of the home-staying ones 30.99. (2) Self-esteem - The rate of the self-esteem that the former perceives proved to be 25.59, that of the latter 32.28. (3) Health Status - The rate of the health status that the former perceives turned out to be 39.67, that of the latter 51.60. 2. Family support, self-esteem, health status in terms of demographic characteristic (1) Family support - The group of institutionalized elderly people shows a tendency to be chiefly influenced by the death or life of the spouse and the number of the children; the group of the home staying ones to be chiefly influenced by the educational level (2) Self-esteem - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by the amount of pocket money, the pocket money provider and the family main supporter. (3) Health Status - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by age, the death or life of spouse, religion, and the educational level. 3. Correlation among family support, self-esteem, and health status The rate of correlation between family support and health status proved to be the highest (r=.549). After came the rate of correlation between health status and self-esteem, which turned out to be(r=.506). The last came the rate of correlation between family support and self-esteem, which proved to be(r=.406). According to this study, there is a conspicuously close correlation among family support, self-esteem, and health status for the elderly. Thus, it would be indispensable to seek out a variety of nursing intervention ways how the elderly could promote family support, self-esteem, and health status.

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Family Support for the Elderly : A Study by Types of Family Members (노인에 대한 가족의지지 : 가족원 유형별 연구)

  • Hong, Soon-Hae
    • Korean Journal of Social Welfare
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    • v.39
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    • pp.322-349
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    • 1999
  • The purpose of the study is to investigate kinds of social support provided by various types of family members, relationships between types of family support and personal variables of the elderly and structural variables of the family network, and the relationships between family support and depression of the elderly. Here, family included a spouse, sons and daughters and their spouses, grandchildren, siblings and parents of an older person. Social support consisted of emotional, instrumental, financial help and social companionship. Two-hundred-eight older persons of age 60 years and over were interviewed. The main results of the study were as follows: an older person's spouse tended to provide more for emotional support, sons for financial help, daughters-in-law for instrumental support, and daughters for emotional and financial support. Some elderly were also provided for emotional support by parents and siblings. Possibility of daughters-in-laws and grandchildren as support providers was also verified. Various factors among personal and network-structural characteristics were significantly related to many types of social support provided by various types of family members. In general, while younger female elders, elders with good IADL ability or more frequent contacts with family members tended to have social support from more family members, support from daughters-in-law was provided to the elderly with less functional abilities. Various types of social support from a spouse were significantly related to depression level of the elderly. Their depression level was more related to whether or not sons and daughters-in-law exist rather than whether or not they provide social support. Practical methods to increase family support for the elderly were discussed.

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Comparison of the Factors Related to Depression of the Female Elderly Living Alone by Region (농촌거주 여성독거노인의 우울성향에 영향을 미치는 변인에 관한 연구 - 도시여성독거노인과의 비교를 중심으로 -)

  • Kim, Eunkyung
    • Korean Journal of Human Ecology
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    • v.24 no.6
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    • pp.811-827
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    • 2015
  • The purpose of this study was to explore the factors related to depression of female elderly living alone by region. Data for this study was based on the 2011 National Survey on Elderly. Total of 1,684(689 rural elderly, 995 urban) community samples of female elderly living alone participated in this study. Even though there was no difference of depression score by region, this study found that the effects of factors on depression were significantly different by region. Yearly income, subjective health, balanced exchange of emotional support and satisfaction with their children were significantly associated with depression of both rural and urban female elderly living alone. For rural female elderly living alone, average daily television viewing time, number of close friends and frequency of contact with friends/neighbors were significant predictors to their depression. In the case of urban female elderly living alone, exercise, frequency of message, email or telephone contact with friends/ neighbors and balanced exchange of economic support contributed significantly to the prediction of depression. Subjective health had the strongest effect on depression for both rural and urban female elderly living alone.

Effects of Education Expenditure for a Child and Financial Support to Parents on Childbirth Intention, Elderly Life Preparation (자녀교육비 및 노부모에 대한 생활비 지원이 둘째자녀 출산의도와 노후준비에 미치는 영향 - $20{\sim}45$세 기혼여성을 중심으로 -)

  • Lee, Sun-Hyung
    • Journal of Family Resource Management and Policy Review
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    • v.13 no.2
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    • pp.43-64
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    • 2009
  • The purpose of this study is to examine the effects of education expenditure children and financial support for parents on childbirth intention and, elderly life preparation. This study uses Korean Longitudinal Survey of Women & Families data. The research subjects are married women aged between $20{\sim}45$ years old who have one child and are living with at least one parent. The analysis method includes chi-square analysis, frequency analysis, and logistic regression analysis which is suitable for presuming differences between groups and relative influence or power. As a result, the first subjective perception is that economic conditions influence childbirth intention and elderly life preparation. Second, the portion of education expenditure is a more important factor than traditional ones, such as the child's sex, the married woman's job and her income. Third, elderly life preparation is influenced by economic factors, regardless of whether they are subjective or objective factors. Finally, analyses by logistic regression analysis suggest that a decision about childbirth is influenced by education expenditure. This refer to the costs related to the child's generation. A decision about elderly life preparation is related to financial support from parents, meaning costs related to the parents's generation.

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Factors Related to Self Management in Middle Aged and Elderly with Diabetes Mellitus (중년기와 노년기 당뇨병 환자의 자가관리 관련요인)

  • Moon, Mi-Young;Kim, Myung-Ae
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.261-273
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    • 2005
  • Purpose: The purpose of this study was to explore the self management and related factors that affect the self management of diabetes between the middle aged and elderly groups. Method: This study was based by the conceptual framework of Cox's interaction model of client health behavior. The subjects were two groups; the middle aged group, 80 and the elderly group, 85 who were diabetes mellitus patients. Result: In the middle aged group, gender, education and social support were significantly correlated with self-management of diabetes mellitus. In the elderly group, gender, education, social support and the duration of diagnosis were significantly correlated with self-management of diabetes mellitus. In too middle aged group, the intrinsic motivation of diabetes mellitus patients and their understanding of diabetes were significantly correlated with self-management of diabetes mellitus. Understanding of diabetes and self perception were significantly correlated with self-management in middle aged group. In the elderly group, intrinsic motivation, understanding of diabetes and the attitude of the patients were significantly correlated with self-management Conclusion: In the middle aged group, maintaining a positive attitude of diabetes, reducing stress and continuous social support were important for improving self-management of diabetes mellitus. In the elderly group, enhancing their knowledge of diabetes, and maintaining continuous social support were important to improve self-management of diabetes mellitus.

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