• Journal of Korean Public Health Nursing
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• v.27 no.2
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• pp.372-383
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• 2013

Purpose: The purpose of this study was to investigate the current state and trends of factors influencing the quality of life in low- income elders living at home. Methods: To carry out this study we established the patient, intervention, comparison, outcomes (PICO) strategy, reviewed 241 published documents from both national and international electronic databases, and finally selected 9 references based on inclusion and exclusion criteria alone. The quality of selected references was assessed using 15 questions. Two reviewers independently examined titles and abstracts and assessed whether each met the predefined inclusion and exclusion criteria. Results: The following factors were significantly associated with quality of life in low- income elders: (1) demographic factors such as number of children, income, and age; (2) health - related factors such as joint exercise capacity, activities of daily living/instrumental activities of daily living, health perception, health promotion behavior, and depression; and (3) socio environmental factors such as family support, community-based service program, leisure activity, and the number of neighborhoods involved. Conclusion: The results of our study provide a definite basis for the development of a policy strategy to improve the quality of life in elders with low income and we hence strongly recommend that any strategy to improve the quality of life in low-income elders be based on the results of our study.

• Journal of Korean Academy of Nursing
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• v.41 no.1
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• pp.72-79
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• 2011

Purpose: The study was done to identify factors influencing Yangsaeng in elders. Methods: Data were collected by questionnaires from 907 elders in D metropolitan city. Measures were Yangsaeng, perceived health status, self-efficacy, and self esteem. Data were analyzed using frequencies, means and standard deviation, t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 13.0 version. Results: The mean score for Yangsaeng the participants was 3.56, out of a possible 5. There were significant differences in Yangsaeng according to age, education level, monthly income, marital status, family structure, and periodic health examination. Yangsaeng correlated positively with perceived health status, self-efficacy and self-esteem. According to the research, factors influencing Yangseng in elders were self-esteem, perceived health status, self-efficacy, family structure, and marital status. Conclusion: The positive correlation between Yangsaeng and health promotion behavior and perceived health status, self-efficacy, and self-esteem identified in this study can have an impact on strategies to improve the health of Korean elders. Therefore, the results can be used as a reference for future studies.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.3
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• pp.343-352
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• 2012

Purpose: The purpose of this study was to develop and test a hypothetical model which explains health behavior adherence in elderly people with prehypertension. The model was based on self-determination theory (SDT). Methods: Data were collected from June 21 to July 15, 2010, using self-report questionnaires. The participants were 140 elders with prehypertension who lived in D Metropolitan City. Collected data were analyzed using PASW 18.0 for descriptive statistics and correlation analysis and AMOS 5.0 for covariance structure analysis. Results: It appeared that the overall fit index was good with a ${\chi}^2$ score of 13.23 (p<0.05), GFI of 0.97, AGFI of 0.79 and RMR of 0.28 in the modified model. The results revealed that significant main effects of both health provider's autonomy support and autonomous motivations were found on the measure of health behavior adherence. These factors explained 72% of variance in the participants, health behavior adherence. Conclusion: The overall findings may provide useful assistance in developing effective motivation-enhanced programs for health behavior adherence.

• Journal of Korean Academy of Nursing
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• v.34 no.8
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• pp.1402-1408
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• 2004

Purpose: The purpose of this study was to analyze the concept of self-care in elders with dementia through a review of nursing literature and to provide more understanding of the definition and perspectives of the concept of self-care notion in elders with dementia. Methods: The technique developed by Walker and Avant was used as a guide in analyzing the concept of self-care. Results: Attributes of self-care in dementia may include a single or group of actions needed for sustaining life, a personal effort to maintain functional independence while minimizing other's assistance, an outcome behavior from the person's interaction with inter-personal and/or contextual environment, and a functional ability that may decline in parallel to cognitive impairment. Antecedents of self-care in dementia may include at least presence of a certain degree of cognitive appraisal for the self-care needs, self-willingness for the self-care action, spatial and visual orientation, cultural pre-conception of the self-care behavior, presence of environmental context/equipment available for self-care, and sufficient time available. The consequences may include sustaining of life, feel of satisfaction, achieving independence, extended life expectancy, increased self-confidence, decreased caregiver distress and/or burden, savings in health care costs. Discussion: Defining attributes and antecedents and consequences of self-care in dementia identified in this study provided empirical ground of a middle-range theory of self-care for a clinical population with dementia and generated possible hypotheses to be tested in future studies.

• Research in Community and Public Health Nursing
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• v.29 no.3
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• pp.335-348
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• 2018

Purpose: This study has been conducted to develop and examine a health promotion empowerment program using a lay health leader for frail elderly. Methods: The research was organized in a nonequivalent control group pre-post test design. Data collection was performed from August 18 to October 8, 2015. The subjects included 76 frail elders aged over 65 registered in home visiting services (Experimental group=39, Control group=37). A health promotion empowerment program using a resident volunteer as a lay health leader was run for 8 weeks. Health factors (health promotion behavior, perceived health status and frailty) and empowerment factors (empowerment, social participation) were assessed. The data were analyzed by using the SPSS/WIN 18.0 program. Results: After the program, health promotion behavior, perceived health status and social participation increased in the experimental group more significantly than in the control group, but frailty decreased in the experimental group greater than in the control group. Conclusion: The health promotion empowerment program using a resident volunteer as a lay health leader was effective. Therefore, the health promotion empowerment program needs to be expanded to other frail elders. Also, a health leader should be recommended as a public health resource and systematically managed.

• Research in Community and Public Health Nursing
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• v.24 no.3
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• pp.302-313
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• 2013

Purpose: The purpose of this study was to identify factors in quality of life and to construct a model of quality of life in longevity region dwelling elders. Methods: Data were collected from January to July, 2010 through direct interviews and a self-reporting questionnaire survey with 171 subjects who were living at the S County (gun). The collected data were analyzed by using the SPSS/WIN 19.0 and AMOS 19.0 programs. Results: Economic status, social support, health behavior and depression were shown to have direct and total effects on quality of life and were statistically significant. Health status had indirect and total effects on quality of life and was statistically significant. And, self-efficacy had direct, indirect and total effects on quality of life and was statistically significant. These variables of the hypothetical model accounted for 41.4% of quality of life. Conclusion: In order to improve quality of life in longevity region dwelling elders, it is necessary to provide economic support and social support services in tandem with social welfare. And, we need to apply interventions strengthening self-efficacy, health behavior, and health status, and decreasing depression.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.489-501
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• 2010

Purpose: The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly. Methods: The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12. Results: There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%. Conclusion: Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.

• Journal of Korean Academy of Rural Health Nursing
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• v.2 no.2
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• pp.102-110
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• 2007

Purpose: The purpose of this study was to investigate health behavior, life satisfaction and stress in elderly people living in a rural community. Methods: The participants in this study were 198 elders from Y-county. Data were collected using a self-report questionnaire and analyzed through descriptive statistics, Pearson's correlation, t-test, ANOVA and Cronbach's ${\alpha}$. Results: There were statistically significant differences in stress according to the residential area. There were statistically significant differences in the health status of the elders according to age, education level, marital status, and presence of spouse. There were statistically significant differences in life satisfaction according to sex, marital status, education level, use of meeting facilities for elders and presence of spouse. The health status of the elders was also positively related to life satisfaction and negatively related to stress. Conclusion: The results of this study suggest that health status is a core factor determining the quality of life for elders. Therefore, a priority for gerontological nursing has to be a focus on improving the psychological and physical health for elders.

• Journal of Korean Public Health Nursing
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• v.15 no.2
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• pp.387-397
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• 2001

Fatigue is a ubiquitous symptom and is a part of many acute and chronic health conditions. This complex symptom is so prevalence in contemporary society that it motivates a large percentage of the health care-seeking behavior among late-middle aged adults and elders. The purpose of this study was to examine perceptions of fatigue. to identify coping types of fatigue, and to explore factors affected fatigue between middle aged adults and elders who have no critical health problems. The results are as follows: 1. The elderly that manifested high level of fatigue revealed more fatigue than adults. 2. There are three coping types of fatigue. The three types were analyzed by Q-methodology. These three are action-evading, action-limited, and action-oriented. 3. The levels of fatigue manifested by the participants varied significantly according to age, vocation, education, present disease, and income. By identifying the nature of each of the coping types of fatigue, it is recommended to develop an effective nursing interventions for middle aged adults and elders.

• Journal of Korean Public Health Nursing
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• v.26 no.2
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• pp.204-214
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• 2012

Purpose: This study was conducted in order to the relationship between life satisfaction, health behaviors, and successful aging and factors associated with successful aging. Methods: Participants in this study included 159 elders living in one city. Data on life satisfaction (Choi's Life Satisfaction Scale for Korean elderly, 1984), health behaviors (Choi & Kim's Health Behaviors Scale for Korean elderly, 1997), and successful aging (Kim & Shin's Successful Aging Scale for Korean elderly, 2005) were collected by trained interviewers. For analysis of collected data, the PASW 18.0 program was used, which included descriptive analysis, t-test, ANOVA, Scheffe test, Pearson correlation coefficients, and Multiple regression. Results: Results showed a positive correlation between life satisfaction, health behaviors, and successful aging. Life satisfaction, self-perceived health status, and health behavior explained 60.8% of successful aging. Conclusion: There is a need to help improve health behavior and self-perceived health status of elders. We should also understand life satisfaction over their life span and establish a program that encourages healthy behavior in the community. Accordingly, these efforts will allow for achievement of a more successful aging process for the elderly.