• Journal of Korean Academy of Nursing
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• v.35 no.4
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• pp.745-753
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• 2005

Purpose. The purposes of this study were to 1) describe the type and frequency of aggressive behavior of cognitively impaired nursing home resident, 2) develop a caregiver training program on prevention and management of aggressive behavior, 3) examine the effects of caregiver training program on the incidence of aggressive behavior of cognitively impaired nursing home resident, and 4) examine the effects of caregiver training program on nursing staff's aggressive behavior management skills. Methods. One-group, time series, quasi-experimental design with a pre-test and two post- tests was used. Data were collected from cognitively impaired home residents (N = 32) and nursing staff (N = 36) in a proprietary nursing home using Ryden Aggression Scale I, II, and Aggressive Behavior Management Scale. Data were entered and analyzed by descriptive statistics and repeated measures ANOVA. Results. Incidence of aggressive behavior was high with a mean score of 3.09 (SD = 3.11) at baseline. Caregiver training program was developed based on Progressively Lowered Stress Threshold (PLST) model and gerontological and psychiatric literature. The mean scores of aggressive behavior at baseline, Post I, and II did not differ significantly although the difference approached to the significant level (F = 2.925, p = .066). Nursing staff's aggressive behavior management skills increased at Post I, and at Post II when compared to baseline, and the difference was significant (F=12.736, p=<.00l). Conclusion. Caregiver training program showed potential impact on reduction of aggressive behavior in elders with cognitive impairment and was effective in increasing nursing staff's aggressive behavior management skills.

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.667-675
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• 2003

Purpose: This study was purposed to provide basic data for developing future health promotion programs by comparing health-promoting behavior, life satisfaction and self-esteem between the Korean elderly and the American-Korean elderly. Methods: The subjects were volunteer participants of 120 elders in the Gyeongsan City in Korea and 120 elders in the state of Washington in the U.S. Tools used in this study were Health Promoting Lifestyle Profile (47 items), Life Satisfaction Scale (20 items) and Self-Esteem Scale (10 items). To analyze data, this study used frequency, percentage, chi-square test, t-test, Kendal tau test, Pearson's correlation coefficient with SPSS program. Results: 1) The average score of health-promoting behaviors was 3.21 in Koreans and 3.50 in American-Koreans, showing a significant difference between the two groups. 2) The sub-scales that got the highest score of health-promoting behaviors were self-actualization and nutrition(M=3.41) in Koreans and nutrition(M=3.61) in American-Koreans, and that with the lowest score was exercise in both groups(2.89 in Koreans and 3.02 in American-Koreans). 3) The average score for life satisfaction was 2.76 in Koreans and 3.06 in American-Koreans, showing a significant difference between the two groups. 4) The average score for self-esteem was 3.39 in Koreans and 3.09 in American-Koreans, showing a insignificant difference between the two groups. 5) Health-promoting behaviors were positively related to life satisfaction and self-esteem. Life satisfaction was positively related to self-esteem in both groups. Conclusions: According to the results of this study, the health-promoting behaviors of Korean and American-Korean elders strongly correlated with life satisfaction and self-esteem. Therefore, health promoting programs that enhance life satisfaction and self-esteem should be developed in order to promote the elderly's healthy lifestyle.

• 한국노년학
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• v.28 no.4
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• pp.1129-1145
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• 2008

In order to develop practical implications for depression among the elderly, this study examines socioeconomic and health-behavioral risk factors of geriatric depression diagnosis. Sample consists of 964 elders aged 65 and over, living in an urban community. Using the Short-form Geriatric Depression Scale(SGDS), study subjects were screened for geriatric depression to those who presented 10 points and over in SGDS. Descriptive statistics shows that about 22.2% elders are estimated to suffer from geriatric depression. Predictors of geriatric depression diagnosis were examined through logistic regression. Results show that elders who live with family, who have medical insurance, who have higher education, who don't smoke, and who do more physical activities were less likely to suffer from geriatric depression. These findings indicate that socioeconomic position such as health insurance, education and health behaviors such as smoking, physical activities are closely related to geriatric depression, suggesting that interventions on socioeconomic position and health behaviors may be effective to reduce depression among the elderly.

• Journal of muscle and joint health
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• v.26 no.3
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• pp.232-240
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• 2019

Purpose: The purpose of this study was to investigate the effects of exercise intention, exercise habit, exercise self-efficacy on exercise behavior with elders at welfare center. Methods: The subjects were 152 elders at the welfare center at J city. Data were collected using the questionnaires which consisted of the Exercise intention scale and the Exercise habit scale developed by Lee and Gu (2018), and the Exercise self-efficacy scale developed by Lee and Chang (2001). The collected data were analyzed with the SPSS/WIN 22.0 program, which was used for frequency, percentage, mean, standard deviation, x² test, and multiple logistic regression. Results: The regular exercise group consisted of 92 elders (62.5%) and the irregular exercise group of 60 elders (39.5%). The scores for exercise intention, exercise habits, exercise self-efficacy were 3.28±0.70, 3.92±0.61, 2.80±0.88 in regular exercise group, and 2.38±0.99, 3.00±1.07, 2.04±0.73 in irregular exercise group, respectively. Two groups were significantly different between the two groups. Multiple logistic regression analysis showed that exercise intention (OR: 2.26, 95% CI:1.19~4.28), exercise habits (OR: 1.79, 95% CI:1.01~3.15), exercise self-efficacy (OR: 1.99, 95% CI:1.11~3.57) were affecting factors for regular exercise in elders. Conclusion: To increase the regular exercise behaviors of the elderly at the welfare center, it is needed the strategies to increase exercise intention, exercise self-efficacy, and exercise habits.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.13 no.2
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• pp.257-268
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• 2006

Purpose: This study was done to develop and evaluate the Integrated Stress Management Program (ISMP) for elders in rural communities. Method: ISMP consists of 6 educational programs to improve self-management behavior and therapeutic recreational activities and was developed by analyzing the published reports and through multidisciplinary cooperation. Effectiveness of the ISMP was evaluated by implementing the program with 53 rural elders living at home, one session a week of, 2 hours per session over, 6 weeks from March 14 to April. 22, 2005. Results: After participating in the program, participants' perceived levels of stress decreased(t=2.940, p<.05), and mood state (t=4.229, p<.001), life satisfaction(t=-4.911, p<.001), and perceived social support (t=-2.891, p<.05) increased significantly. Conclusion: The results of this study demonstrated that the ISMP is an effective program for relieving stress level, and increasing positive mood, life satisfaction, and social support for elders in a rural community.

• Research in Community and Public Health Nursing
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• v.28 no.1
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• pp.78-87
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• 2017

Purpose: The purpose of this study is to identify factors influencing the quality of life of the elderly living alone and living with their families with regard to their health statuses and health behavior experiences. Methods: We used source data from the 2014 Community Health Survey. The subjects of this study included some elderly people aged 65 and over, and analyzed the data of 13,373 elders living alone and 13,322 elders living with family. Results: Factors influencing the quality of life of the elderly living alone and living with their families include gender, age, education, household income, current occupation, subjective stress level, depression, number of diagnosed diseases, walking exercise, the experience of health screening, and the experience of not having necessary medical services (p<.001). Region was a significant variable influencing the quality of life of the elderly living with their families (p<.001). Conclusion: In order to improve the quality of life of the elderly, it is necessary to provide sound conditions for working, emotional support, walking exercise and promotion of health screening, and to supplement the environment and institution for them to receive necessary medical services.

• Journal of Korean Academy of Nursing
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• v.39 no.4
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• pp.562-573
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• 2009

Purpose: The purpose of this study was to identify the effects on the cognitive function, Activities of Daily Living (ADL), mood, social behaviors, and problematic behaviors of robot pet-assisted program for elderly people with dementia. Methods: This study was a nonequivalent control group pretest-posttest design. The participants were 32 elders with dementia. Seventeen were assigned to the experimental group and 15 to the control group. The intervention was conducted twicea week for 6 weeks. Results: 1) After the program, cognitive function, ADL, and social behaviors did not show significant differences. 2) After the program, mood of experimental group was significantly better than that of the control group. 3) After the program, problematic behaviors of the experimental group were significantly more diminished than those of control group. 4) As a result of analyzing the response, robot pet-assisted program was effective such as inducing a positive emotional state and increasing communication and interaction. Conclusion: The robot pet-assisted program was effective in changing the mood and diminishing problematic behaviors and had positive effects such as increasing communication and interaction for elders with dementia. Therefore, this program should be considered as a positive program for physical and emotional support for elders with dementia.

• Journal of Korean Academy of Nursing
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• v.43 no.5
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• pp.613-625
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• 2013

Purpose: This study was conducted to determine the effects of a fall prevention program on falls, physical function, psychological function, and home environmental safety in frail elders living at home in rural communities. Methods: The design of this study was a nonequivalent control group pre posttest design. The study was conducted from July to November, 2012 with 30 participants in the experimental group and 30 in the control group. Participants were registered at the public health center of E County. The prevention program on falls consisted of laughter therapy, exercise, foot care and education. The program was provided once a week for 8 weeks and each session lasted 80 minutes. Results: The risk score for falls and depression in the experimental group decreased significantly compared with scores for the control group. Compliance with prevention behavior related to falls, knowledge score on falls, safety scores of home environment, physical balance, muscle strength of lower extremities, and self-efficacy for fall prevention significantly increased in the experimental group compared with the control group. Conclusion: These results suggest that the prevention program on falls is effective for the prevention of falls in frail elders living at home.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.16 no.3
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• pp.333-344
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• 2009

Purpose: This study was done to identify differences in health habits, perceived stress, depression, and suicidal thinking by gender for elderly people who are living alone and elderly people who are living with others. Method: The study participants were 4,051 people aged 65 years and over who were surveyed in the Third Korea National Health and Nutrition Examination Survey in 2005. The relationship among outcomes and living arrangement by gender in elders was assessed using multiple logistic regression while controlling for sociodemographic characteristics. Results: Older men living alone were less likely to have breakfast and more likely to perceive stress and think of suicide than older men living with family or others. On the other hand, older women who live alone were less likely to perceive stress than older women who live with others. Age, educational level, income, and number of diseases were significantly associated with each individual outcome. Conclusion: This study showed that living alone has a significant impact on physical health habits and psychological health of elderly people, especially for older men. Therefore, living arrangement should be considered in developing a health promotion program for elders as well as age, gender, education, and income.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.19 no.2
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• pp.179-189
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• 2012

Purpose: The purpose of this study was to identify the effects of eating habits, activities of daily living and health behaviors on oral health related-quality of life in elders. Methods: The sample consisted of 246 people 65 years or older. Data were analyzed using frequency, percentage, average standard deviation, t-test, ANOVA, Scheff$\acute{e}$, Pearson Correlation Analysis and Hierarchical Multiple Regression. Results: The control variables such as gender, presence of a spouse, subjective health status, presence of chronic disease and existing number of teeth explained 14% (F=7.76, p<.001) of variance in oral health related-quality of life. The control variables, eating habits, activities of daily living and health behaviors collectively explained 20% of variance in oral health related quality of life. Conclusions: The factors that influence oral health related quality of life were presence of spouse presence factor, existing number of teeth and health behavior. Therefore, oral health related quality of life of elders requires the development of programs to boost the quality of life, and help the elderly people to maintain existing number of teeth by focusing on the variety of characteristics.