• 제목/요약/키워드: physical psychological and social health

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건강불평등 요인이 농촌노인의 건강수준에 미치는 영향 (The effect of Health Inequality Factors on Health Level of the Rural Elderly)

  • 최동희;채영란
    • Journal of Korean Biological Nursing Science
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    • 제19권2호
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    • pp.98-106
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    • 2017
  • Purpose: This study aimed to analyze the relationships between the factors affecting health levels of the elderly in rural areas. Methods: Subjects were 257 elderly people residing in rural areas of six cities and Gangwon Province. Data was collected through questionnaires (demographic and socioeconomic status, social resources, health behaviors, physical environment, psychological tendency and general health levels) and was analyzed by using multiple regression and Sobel test. Results: The demographic and socioeconomic characteristics of the subjects exerted statistically significant influence on their social resources, health behaviors, physical environment, and psychological tendencies. The demographic and socioeconomic characteristics, social resources, health behaviors, physical environment, and psychological tendencies, in turn, exerted a statistically significant influence on the health level. The social resources had mediating effects on the relationship between income, one of the demographic and socioeconomic characteristics, and health level. The residential environments had mediating effects on the relationship between income and health level. The psychological tendency had mediating effects on the relationship between income and health level. Conclusion: This study suggests that income is an important factor affecting health level among rural elderly people. In addition, social resources, health behaviors, physical environment, and psychological tendencies among them also affect health level, so it is necessary to make strategies to improve these factors.

사회복지 시설 여자 노인의 영양 건강상태 -II. 사회적, 심리적, 신체적 건강상태- (The Nutritional Status of the Female Elderly Residents in Nursing Home -II. Social, Psychological and Physical Health Status-)

  • 송용숙
    • Journal of Nutrition and Health
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    • 제28권11호
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    • pp.1117-1128
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    • 1995
  • This study investigated whether social and psychological factors were related to nutritional status of the elderly. Food habits, social contacts and psychological the test score were collected from 86 institutionalized elderly women aged 65-96 in Chon-buk area. Social health status was measured by score of social contacts with others. Depression, self-esteem and locus of control were measured to evaluate psychological health status by using Zung DSI(Depression Status Intentory), Rosenberg SES(Self-esteem scale) and Rotter's vs external control, respectively. Social contacts of the total subjects were lowered, and in the group of over 85, contacts with relatives were significantly decreased compare to under 85 years of age groups. Psychological health status such as depression and self-esteem were also lowered, but locus of control showed internal control that indicates positive attitude to eating behavior. Most of the nutrients intake were positively correlated to self-esteem scores(p<0.05), but not to nutritional risk index score. Intake of vitamin C was related to social health status as well as psychological health status. Increasing the number of contact with relatives, intakes of carbohydrates, fiber, vit B1, vit C, Ca and P were elevated(p<0.05). As the score of self-esteem increased, intakes of fiber, Fe, vit B1, niacin, vit C, and vit A were increased. It is suggested that social activity and health education programs will be needed to improve the nutritional status of the institutionalized elderly.

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대학생의 신체적, 심리적 증상과 대학생활만족도와의 관계에서 자아존중감과 사회적 지지의 매개효과 (Mediating Effects of Self-esteem and Social Support on the Relationship between Physical, Psychological Symptoms and Campus Life Satisfaction of Students)

  • 이용호;김희경;김남송
    • 디지털융복합연구
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    • 제11권10호
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    • pp.483-492
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    • 2013
  • 이 연구는 대학생들의 일반적 특성, 건강수준에 따른 신체적 증상, 심리적 증상, 자아존중감, 사회적 지지 및 대학생활만족도 차이를 파악하고 신체적 증상, 우울, 불안의 심리적 증상과 대학생활만족도와의 관계에서 자아존중감과 사회적 지지의 매개효과를 규명하고자 하는 연구이다. 경로분석 결과, 연령은 사회적 지지를 매개로 하여 대학생활만족도에 긍정적 영향을 미치며, 신체적 증상, 우울, 불안은 자아존중감과 사회적 지지를 매개로 하여 대학생활만족도에 영향을 미치는데, 신체적 증상은 긍정적인 영향을, 우울과 불안은 부정적인 영향을 미치는 것으로 나타났다. 따라서 신체적 증상, 심리적 증상과 대학생활만족도와의 관계에서 자아존중감과 사회적 지지의 매개효과와 크기 및 경로를 확인하였다.

일 도시지역 노인의 건강상태에 관한 연구 (Health Status among Community Elderly in Korea)

  • 김혜령
    • 대한간호학회지
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    • 제33권5호
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    • pp.544-552
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    • 2003
  • Purpose: This study examined the health status among elderly in community. Method: This is a survey using cross-sectional design. The subjects were 531 elders who were 65 and over in Pusan, Korea. Data were collected by 17 trained interviewers from April 10 to August 26, 2000. Functional status for physical health status, depression, loneliness, self-esteem for psychological health status, and social support for social health status were measured. Result: About forty three percent of the subjects were found as the elderly who need support in physical status. About fifty six percent of the subjects were depressed. The mean score on the Loneliness scale was 40.4, which means relatively higher. For self-esteem, its score was lower than that of elderly who were examined in other studies. The subjects were living in the state of lower social support. The risk factors for vulnerable health status were being female, becoming older, lower income and education, and living alone. Conclusion: This finding indicates that the elderly subjects in Korean community were in poor health status in physical, psychological and social aspects.

농촌노인의 성과 연령에 따른 신체적.정신적.사회적 건강의 상호관계 (Physical, Mental and Social Health of Korean Rural Elderly with a Focus on Gender and Age-group Differences)

  • 이정화
    • 한국지역사회생활과학회지
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    • 제17권2호
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    • pp.15-30
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    • 2006
  • The purpose of this study is to examine how the rural elderly assess the multi-dimensions of health. This includes the physical, mental and social dimensions of health, correlations among them, and whether there are gender differences and age-group (60's, 70's, 80 and over) differences. For this purpose, survey data was gathered from 881 rural elderly who live in a village. The statistical methods used for data analysis were descriptive statistics, t-test, ANOVA and correlations. The major findings of this study are as follows: Physical health was measured by self-rated health, ADL, IADL, and farmer symptoms. The respondents classified as 80 and over and female perceived their physical health more negatively. Mental health was perceived somewhat positively in general but female participants perceived their mental health more negatively than males. Social health of the rural elderly was relatively positive in comparison to the other dimensions of health. The rural elderly engaged in many social activities, and the majority of them had many social support networks composed of more than 12 persons. Relationships among the physical, mental and social health dimensions were different. The correlation of physical and mental health and the correlation of social and psychological health were statistically significant. However, the correlation of physical and social health had no significant meanings.

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남자 고등학생의 분노 및 속박감이 정신건강에 미치는 영향: 지각된 사회적 지지의 매개효과를 중심으로 (Effects of Anger and Entrapment on Psychological Health of High School Boys: Focused on the Mediating Effects of Social Support)

  • 양선이;오윤희
    • Child Health Nursing Research
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    • 제23권4호
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    • pp.429-439
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    • 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.

지역사회 거주 1인가구 노인의 신체활동 관련요인: 2019년 지역사회건강조사 자료 이용 (Factors Associated with Physical Activity in Older Adults Living Alone: Using Data from the 2019 Community Health Survey)

  • 이은숙;김혜영;고은
    • 근관절건강학회지
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    • 제30권3호
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    • pp.242-253
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    • 2023
  • Purpose: The purpose of this study was to identify factors associated with physical activity in older adults living alone. Methods: This is cross-sectional, correlational study used secondary data from the 2019 Community Health Survey. The participants were 19,134 older adults aged 65 years or older and living alone. Data were analyzed using descriptive statistics, the 𝜒2 test, and linear regression with the SPSS/WIN 27.0 program. Results: The participants' average amount of physical activity was 1,359.32 MET-min/week; 50.7% were inactive, 38.6% were minimally active, and 10.7% were health-promoting active. Demographic factors that predicted physical activity were gender, age, education level and monthly income, whereas health behavior factors included subjective health status and high risk drinking (R2=.055, p<.001). Psychological factors were sleeping time, stress, depression and fear of falling, and social factors included social contact with neighbors or friends, and participation in social or leisure activites(R2=.070, p<.001). Conclusion: It is important to determine the level of physical activity in older adults living alone. Demographic characteristics, health behaviors, psychological factors, and social factors should be considered in the development of specific and integrated nursing interventions to increase physical activity in older adults.

입원아동이 지각한 건강과 질병개념에 관한 연구 (A Study on Health/Illness Concepts in Hospitalized Children)

  • 성미혜
    • Child Health Nursing Research
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    • 제7권2호
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    • pp.149-160
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    • 2001
  • The purpose of this study was to explore the health and illness concepts of hospitalized children. The subjects were 129 hospitalized children from 3 to 12 years old in one general hospital. Data were collected through semistructured interviews by authors. This study was conducted from Jun. 1, 2000 to Dec. 31, 2000. Data were coded and categorized by content analysis. The results were as follows : 1. Perceived health concept were physical well-being, food, exercise, powerfulness, emotional stability, obeidence, cleanliness, sleep and ability of social adaptation. 2. Perceived health behavior to maintain health were food, treatment, exercise, cleanliness, obeidence, sleep, emotional stability, power-fulness and psychological stability, physical well-being. 3. Perceived prevention of illness were food, cleanliness, treatment, exercise, obedience, sleep, powerfulness, psychological stability, emotional stability, recreation and ability of social adaptation. 4. Perceived causes of illness were illness, trauma and food. 5. Perceived treatment of illness were treatment, sleep, rest, food, obedience, emotional stability, psychological stability, cleanliness, exercise and powerfulness.

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Psychiatric understanding and treatment of patients with amputations

  • Jo, So-Hye;Kang, Suk-Hun;Seo, Wan-Seok;Koo, Bon-Hoon;Kim, Hye-Geum;Yun, Seok-Ho
    • Journal of Yeungnam Medical Science
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    • 제38권3호
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    • pp.194-201
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    • 2021
  • Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

노인의 신체적, 정신적 및 사회적 교육요구도 (Physical, Psychological and Social Education Needs of the Korean Elderly)

  • 김정혜
    • 한국간호교육학회지
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    • 제11권2호
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    • pp.260-269
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    • 2005
  • The purpose of this study was to examine what types of physical, psychological, and social problems elderly and what sort of education they were in want of to tackle their problems. The subjects in this study were 109 elderly who used Lifelong Education Center and social welfare agencies in Suwon. The data were gathered from September 1 through the 30th day, 2004. The instrument was questionnaires prepared by this researcher after reviewing relevant literature. The collected data were analyzed with SPSS(Ver. 11.0) program. The major findings were as follows: 1. Among different types of problems with the elderly people investigated, 42.2%, found economic problems most serious, followed by health problems with 33.9%. 2. They got a 4.36, 4.02 and 4.70 in needs for physical, psychological, and social education respectively. 3. Regarding physical area, the elderly people were most in want of education about the prevention of dementia. As to psychological area, they attached the meaning of death and preparation for that. Social area, they wanted to learn about problems with the elderly. Based on the findings of the study, I suggest that More educational programs geared toward the elderly should be developed in response to their needs for education.

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