Factors Influencing Depression and Quality of Life in Elderly Customized Home Visiting Health Services

맞춤형 방문건강관리 대상 노인의 우울 및 삶의 질 영향요인

  • Received : 2011.07.18
  • Accepted : 2011.09.09
  • Published : 2011.09.30

Abstract

Purpose: The study was conducted in order to identify factors influencing depression and quality of life in elderly customized home visiting health services. Methods: A total of 442 people participated as the subjects of this study. Data were collected during the period from June to September in 2010 and the measurement tool used for this study was the customized home visiting health service recording sheet recommended by the Ministry of Health. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 17.0. Results: Depression was correlated negatively with quality of life. According to the results of this research, factors influencing depression in elderly customized home visiting health services were quality of life, customized home visiting health service period, and IADL. Factors influencing quality of life in elderly customized home visiting health services were depression, joint exercise capacity, age, connection to volunteerism, IADL and ADL. Conclusion: The results of this study can be leveraged as complementary information for the effective management of customized home visiting health service subjects. Moreover, the results can be used as a reference for future studies.

Keywords

References

  1. Choi, I., Kim, Y. S., & Suh, K. H. (2009). The psychosocial factors affecting suicidal ideation of the elderly. Health and Social Science, 25, 33-56.
  2. Choi, J. S. (2010). Customized home visiting health service elderly's depression and quality of life influence factors. Unpublished doctoral dissertation, Daegu Haany University, Daegu.
  3. Choi, Y. H. (2007). A Study on depression, sleep and fatigue in younger and older elders. Journal of Korean Academy of Community Health Nursing, 18(2), 223-231.
  4. Choi, Y. H. (2005). The relations among health promoting behaviors, self-esteem and depression in the vulnerable elderly of urban areas. Journal of Korean Academy of Community Health Nursing, 16(2), 148-156.
  5. Chung, S. D. (2005). A path analysis in depression among the elderly of institutional settings. Journal of the Korean Gerontological Society, 25(3), 75-90.
  6. Jung, Y. M. (2007). Heath status and associated factors of depression according to depression in elderly women. Journal of the Korean Gerontological Society, 27(1), 71-86.
  7. Jeon, H. S., & Kahng, S. K. (2009). Predictors of depression trajectory among the elderly using the Korean welfare panel data. Journal of the Korean Gerontological Society, 29(4), 1611-1628.
  8. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short from-Korea version. Journal of Korean Neuropsychiatry Association, 35(2), 298-307.
  9. Kim, H. R. (2003). Heath status among community elderly in Korea. Journal of Korean Academy of Nursing, 33(5), 544-552. https://doi.org/10.4040/jkan.2003.33.5.544
  10. Kim, K. H., Park, H. J., Kim, L. H., Kang, Y. H., & Shin, K. R. (2007). The correlation among quality of life, depression, and urinary incontinence of elderly women in a urban city. Journal of the Korean Gerontological Society, 27(4), 943-962.
  11. Ko, I. S., Lee, T. W., Lee, K. J., Lee, C. Y., Lim, M. H., Cheon, E Y., et al. (2005). Analysis of health problems of lowincome home care elderly at a urban-rural composite area. Journal of Korean Gerontological Nursing, 7, 136-147.
  12. Korea National Statistic Organization Office. (2009). Korea social index from national statistic organization. Retrieved September 2, 2009, from http://www.kosis. kr/html/Interstatic/research/do02.jsp
  13. Lee, H. J., Kahng, S. K., & Lee, J. Y. (2008). The effects of socioeconomic position and health behavior on geriatric depressive symptom. Journal of the Korean Gerontological Society, 28(4), 1129-1145.
  14. Lee, H. S., Kim, H. S., & Jung, Y. M. (2009). Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing, 20(1), 12-22.
  15. Lee, S. H., & Yang, S. O. (2010). The effects of chronic musculoskeletal pain and depression on health-related quality of life by gender in community-dwelling older adults. Journal of Korean Academy of Community Health Nursing, 21(1), 21-30. https://doi.org/10.12799/jkachn.2010.21.1.21
  16. Lim, D. H. (2007). Effects or regular exercise on stress, coping strategy, and life satisfaction of older ages. Unpublished master's thesis, Yonsei University, Seoul.
  17. Moon, M. J. (2004). Analysis on the structural model of life satisfaction for elderly home residents. Journal of Korean Gerontological Nursing, 6, 202-215.
  18. Oh, Y. H., Suk, H. E., Kwon, J. D., Kim, J. S., Park, Y. R., & Lim, J. K. (2005). Old person's quality of life and policy implications. Seoul: Korea Institute for Health Social Affairs.
  19. Park, Y. H., & Suh, E. Y. (2007). The risk of malnutrition, depression, and the perceived heath status of older adults. Journal of Korean Academy of Nursing, 37(6), 941-948. https://doi.org/10.4040/jkan.2007.37.6.941
  20. Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric depression scale(GDS): Recent evidence and development of a shorter version. New York: The Harwoth Press.
  21. Shim, J. Y., Lee, J. K., Kim, S. Y., Won, J. W., Sunwoo, S., Park, H. K., et al. (1999). The development of Korean health related quality of life scale. Journal of Korean Academy Family Medicine, 20(10), 1197-1208.
  22. Shin, K. R., Byeon, Y. S., Kang, Y. S., & Oak, J. W. (2008). A study on physical symptom, activity of daily living, and health-related quality of life in the community-dwelling older adults. Journal of Korean Academy of Nursing, 38(3), 437-444. https://doi.org/10.4040/jkan.2008.38.3.437
  23. Shin, K. R., & Kim, J. S. (2003). A study on the relationship between stress and depression in elderly women. Journal of Korean Gerontological Nursing, 5(1), 29-37.
  24. Won, C. W., Yang, K. Y., Rho, Y. G., Kim, S. Y., Lee, E., Yoon, J. L., et al. (2002). The development of Korean activity of daily living (K-ADL) and Korean instrumental activity of daily living (K-IADL) scale. Journal of the Korean Geriatrics Society, 6(2), 107-120.
  25. Won, J. S., & Kim, K. H. (2008). Evaluation of cognitive functions, depression, and life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academy of Nursing, 38(1), 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  26. Yeon, B. K., Suh, G. H., Ryu, S. G., Lim, J. W., & Bang, H. S. (1999). Comparison study for quality of life in depressed, demented and normal elderly. Journal of Korean Geriatric Psychiatry, 3(2), 157-164.