• Research in Community and Public Health Nursing
• /
• v.15 no.3
• /
• pp.438-449
• /
• 2004

Purpose: The purpose of this study was to examine the levels of and relationships between physical health status, depression and health behaviors and the factors affecting health behavior in the elderly. Method : The subjects of this study were 118 elderly people aged over 60 living in urban and rural areas. The data were collected by interview through questionnaires from December 1. 2003 to January 30, 2004. The data were analyzed by descriptive statistics. t-test. ANOVA. Pearson correlation coefficient, and stepwise multiple regression. Results: The results of the study are as follows. 1. The mean score of the physical health status was 63.88 out of a total of 78 and the mean score of depression 42.71 out of 80. The mean score of health behaviors was 126 out of 165 and 3.83 point out of 5. In terms of sub-domains of health behaviors, emotional areas showed the highest mean score (3.98). 2. There was a significant positive correlation between health behaviors and the physical health status (r=.491, P<.001), while there was a significant negative correlation between depression and physical health status(r=.626, P<.001), and depression and health behavior(r=.784. P<.001). 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health behaviors was psychological health. namely depression. A combination of depression. perceived health status and religion accounted for 65% of the variance in health behaviors of the elderly. Conclusion: From the results of the study, we recommend that the development of a nursing intervention program for the health behaviors including the factors affecting the elderly. It suggests the need to focus more on psychological and spiritual health and the development of nursing interventions for health promotion among older adults.

• 월간산업보건
• /
• s.35
• /
• pp.7-16
• /
• 1991

• Health Policy and Management
• /
• v.10 no.3
• /
• pp.129-154
• /
• 2000

This study aims at providing the basic data necessary for developing a model of and the policies for the improved quality of life of the adult population by measuring and analyzing factors affecting the quality of life based on a WHOQOL-Bref survey of 1,200 persons above the age of 20 residing in Taegu Metropolitan City area. 1. The factors affecting their quality of life were measured as follows: The physical conditions got the highest point of 3.31 while the psychological conditions got 3.20 and the environmental conditions got the lowest point of 3.09. The overall quality of life was rated to be at 3.11 2. General conditions affecting the quality of life, such as the economic conditions, health conditions and stress all turned out to be variables having significant differences(p〈0.01) in all the factors affecting the quality of life. 3. Through the analysis, we also found out the positive correlation exists among all the factors determining the quality of life(p〈0.01), while the psychological factor turning out to have the highest correlation value(r=0.640) with the overall quality of life. 4. To find out the factors affecting all the aspects of quality of life, we also conducted a multiple regression analysis employing the general characteristics as an independent variable. The health, economic and stress conditions all turned out to be significant in all aspects(p〈0.01). Summarizing the above analysis, the quality of life has a high correlation with the psychological, physical and environmental conditions. It has also turned out that the health, economic and stress conditions have the greatest influence on the quality of life. Therefore, it is believed to be necessary that a comprehensive program be developed to promote the public health and to formulate a model for improvement of the people's quality of life that can enhance their physical, psychological and social health conditions.

• Korean Journal of Adult Nursing
• /
• v.13 no.2
• /
• pp.262-276
• /
• 2001

The purpose of this study is to investigate the correlation among the stroke patient family's health, burden and quality of life which is based upon the comparative appreciation of the adult stroke patient's family and elderly stroke patient's family. For this purpose, data were collected from the family care-givers for two groups of stroke patients under sixty years old and over sixty years of age, admitted at K Hospital and H Hospital in Seoul. The instruments for this research are based on the tool for measuring physical health and psychological health developed by Yang, Young-hee(1992), the tool for measuring the sense of burden by Seo, Mee-hae and Oh, Ga-sil(1993), and the tool for the quality of life by Noh, Yoo-ja(1988). The sampling for this study was done from December, 2000 until February, 2001. Questionnaire data were drawn up by personal interviews aided by the staff nurses. The analysis of collected data are based on general characteristics calculated at the rate of 100 percent of the average, t-test, ANOVA(some difference on a level with p<.05 being subsquently confirmed by DMR) for Health Status, Burden, Quality of Life and Pearson Correlation to verify the hypothetical correlation among the subjects. The results of this study are as follows: 1. In the adult stroke patient family, the factors influencing the physical health proved to be age, present occupation and family-formation. Here, the factors influencing psychological health turned out to be age, matrimonial status, present occupation and family-formation. In the elderly stroke patient family, the factors influencing physical health proved to be age, gender, final academic status, matrimonial status, present occupation, and relation with the patient. Here, the factors influencing the psychological health were age, final academic status, matrimonial status, present occupation, relation with the patient and family-formation. In the former case, the influencing factors upon the burden were shown to be age, final academic status, matrimonial status, relation with the patient and family-formation. In the latter case, the influences upon the burden were age, gender, final academic status, matrimonial status, present occupation and relation with the patient. In the former case, the influences on the quality of life were gender, and economic situation. In the later case, the influencing factors on the quality of life were age, final academic status, matrimonial status, present occupation, and relation with the patient. 2. The rate of the physical condition in the former case turned out to be 2.83, and the psychological condition 2.37. The physical condition of the latter case was 2.76, and the psychological condition 2.46. The rate of the burden in the former case was 3.14, and that of the latter case was 3.04. The rate of quality of life in the former case proved to be 2.46, and that of the latter case 2.55. 3. The rate of correlation between the burden and the quality of life appeared to be the high counter-correlation (r= -.573). The rate of correlation between the psychological health and the burden of a simialr (r= -.565). The rate of correlation between the physical health and the psychological health proved to be a moderate correlation (r= .372), The rate of correlation between physical health and the burden turned out to be a low counter-correlation (r= -.276). According to this study, there proved to be a very close correlation among the stroke patient family's health, the burden and quality of life. Thus, it would be necessary to find out various nursing interventions in order to mitigate the stroke patient family's burden in the process of caring for the patients.

• 한국노년학
• /
• v.31 no.4
• /
• pp.1103-1118
• /
• 2011

This study aims to examine the effects of employment on the physical health, psychological function, and life satisfaction of the elderly. Participants were 4,165 persons (men 1,739, women 2,426) aged 65 over. Physical health was composed of ADLs(Activities of daily living), pains, and disorders. Psychological function was measured by cognitive functions (subtraction, instruction execution, memory test, and item use) and emotional difficulty. Life satisfaction, work satisfaction, and work level were also measured. Major findings in this study are as follows: First, gender, marriage, and education level had significant effects on the participants' life satisfaction, but religion and financial incomes did not. Second, employment had significant effects on their physical health, psychological function, and life satisfaction. Third, pain, cognitive functions, emotional difficulty, and work satisfaction had significant effects on the life satisfaction of the working elderly. But, work level and incomes had not significant effects on the elderly's life satisfaction. In addition, an interaction between cognitive functions and emotional difficulty on life satisfaction was found.

• Journal of Life Science
• /
• v.16 no.4
• /
• pp.584-588
• /
• 2006

Physical activity has been effective in enhancing quality of life and physical fitness of older adults over relatively short periods of time. However, little is known about the Yoga-based exercise program on physiological changes and physical fitness with psychological variables in elderly women. The purpose of this study is to investigate the effect of Yoga- based exercise program on physiological, psychological factors and physical fitness in elderly women. Forty-four elders were recruited from the public health center. They were divided into exercise training group(n=22) and control group(n=22). The training group participating in 10 weeks of Yoga-based exercise program. Data was analyzed with descriptive statistics, the chi-square test, Fisher's Extract test, and ANCOVA to evaluate body fat, spine ROM, blood pressure, cholesterol, depression, life satisfaction, ADL and physical fitness. There was a significant improvement in blood pressure, total cholesterol, precent of body fat, physiological function, depression, life satisfaction, ADL and physical fitness in the exercise training group than that of the control group. From the results, Yoga-based interventions designed to improve various variables were equally acceptable to elderly women.

• Korean Journal of Psychosomatic Medicine
• /
• v.26 no.2
• /
• pp.179-187
• /
• 2018

Objectives : The purpose of this study was to assess physical illnesses, psychological difficulties, and daily life function of victims' family members one year after the Sewol ferry disaster, in order to establish a basis of strategies to promote their mental health and resilience. Methods : We statistically analyzed self-reported data collected from a survey conducted between March 22 and 28, 2015 with 139 family members of victims. Results : All respondents complained about one or more psychological difficulties, and 95.4% of them had newly diagnosed or exacerbated physical illnesses. An increased number of psychological difficulties was associated with a greater tendency to present physical illnesses including chronic headache, gastrointestinal, musculoskeletal, obstetrico-gynecological, genitourinary, and cardiovascular disease. In addition, the majority of respondents reported a decrease in life functioning. Specifically, 71.9% reported interpersonal avoidance and 63.9% reported difficulty in returning to work. Conclusions : Not only psychological trauma but also physical illness and daily functioning should be evaluated in detail and actively addressed in the bereaved family members after a catastrophe.

• Child Health Nursing Research
• /
• v.23 no.4
• /
• pp.429-439
• /
• 2017

Purpose: The aim of this study was to identify the status of psychological health among boys in high school and to examine the mediating effects of social support on the relationship between anger and entrapment on psychological health. Methods: The participants in this study were 193 high school boys from Jeju. Measurements included state-trait anger expression inventory, entrapment scale, student social support scale, and questionnaires to assess mental and physical health. Data were analyzed using independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, simple and multiple regression techniques with the SPSS 21.0. Mediation analysis was performed with the Baron and Kenny's method, and Sobel test. Results: Mean scores for anger experience, entrapment, social support, and psychological health were $29.81{\pm}7.34$, $34.09{\pm}16.33$, $45.75{\pm}7.02$, $22.51{\pm}9.91$, respectively. There was a significant correlation between anger experience and psychological health. Entrapment was significantly correlated with psychological health. Social support showed partial mediating effects in the relationship between anger experience and psychological health (Sobel test: Z=54.18. p<.001). Social support showed partial mediating effects in the relationship between entrapment and psychological health (Sobel test: Z=2.24. p=.025). Conclusion: The results indicate a need to develop social support programs for boys in high school.

• 한국노년학
• /
• v.27 no.2
• /
• pp.285-298
• /
• 2007

The study examined the extent of violence and the relationship between violence and job stress experienced by 182 direct care workers and nurses in Daejeon nursing facilities. The CTS2 was used to interview each helping professions in order to examine the extent of client-perpetrated psychological aggression and physical assault. Major findings are as follows: (1) For the preceding 12-month period, 79.2% of workers reported at least one incidents of violence. But their job stress was low. (2) To the extent that psychological aggression and physical assault are related. 43.4% of participants reported both psychological and physical violence, 35.8% reported psychological violence, 0.6% reported physical violence only, and 20.2% reported neither psychological nor physical violence. (3) Stress from care/nursing task was significantly associated with violence, especially both psychological and physical violence. Greater, targeted efforts are needed to reduce the prevalence and consequences of workplace violence.

• Korean Journal of Health Psychology
• /
• v.16 no.3
• /
• pp.537-555
• /
• 2011

The purpose of this study was two-fold. First, comparisons on the psychological and physical attributes of normal weight, overweight, and obese children were conducted. Second, the influence of BMI and physical fitness interaction on psychological adaptation in children with obesity was explored. Participants were 245 children between the ages of 9 and 13 years (64.5% males). Data on children considered overweight (n = 45) or obese (n = 78) were gathered from the Korean Obese Children's Physical Activity (KOCPA) projects. Normal weight children (n = 122) were recruited from two Seoul elementary schools. Psychological measurements included Weight Efficacy Life-style Questionnaire (WEL), Physical Self-efficacy Scale (PSES), Child Dietary Self-efficacy Scale (CDSS), Self-concept Inventory (SCI), and the Korean version of the Pediatric Quality of Life Intervention TM Version 4.0 Generic Core Scales (PedsQLTM4.0). BMI (kg/m2) and physical fitness (e.g., aerobic endurance, flexibility) were recorded by experts in exercise physiology. Results showed that children in the high BMI group reported poorer psychological adaption and demonstrated lower physical fitness when compared to the remaining groups. Compared to normal weight children, children considered overweight and obese were found to have lower physical self-efficacy, more negative self-concept, and poorer quality of life. Further, these children also had significantly lower physical fitness levels than their normal weight counterparts. Physical fitness was found to have a significant main effect on weight efficacy (WEL), physical self-efficacy (PSES), and quality of life (PedsQL) in children considered overweight or obese. A significant BMI-physical fitness interaction effect was found for self-concept (SCI) only. Children with higher BMI reported poorer self-concept regardless of fitness level whereas children with lower BMI and higher fitness reported more positive self-concept. Implications and limitations are discussed.