Journal of Home Health Care Nursing (가정∙방문간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정∙방문간호학회)
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The Relationship between Health status, Health-promoting behavior, Self-esteem and Suicidal ideation among the Elderly

노인의 건강상태, 건강증진행위, 자아존중감 및 자살생각 간의 관계

  • Received : 2014.11.03
  • Accepted : 2014.12.03
  • Published : 2014.12.31
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Abstract

Purpose: This study was conducted to investigate the correlation between health status, health-promoting behavior, self-esteem and suicidal ideation among the elderly. Method: Subjects consisted of 115 elderly persons. Data were collected from January to March 2013, and were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation analysis. Results: The mean scores for health status ($2.41{\pm}.68$), health-promoting behavior ($2.38{\pm}.43$), and self-esteem ($2.87{\pm}.69$) among the elderly fell in the average range, whereas scores for suicidal ideation ($.48{\pm}.36$) among the elderly fell in the below average range. Health status differed significantly according to age, educational level and economic status. Health-promoting behavior did not differ significantly based on these general characteristics. Self-esteem differed significantly according to age, job, and number of people living in the household. Suicidal ideation differed significantly based on age, educational level, and economic status. Significant correlations were found between health status, health-promoting behavior, self-esteem, and suicidal ideation. Conclusion: These findings indicate that perceived health status, health-promoting behavior, and self-esteem may be factors that need to be considered in order to decrease the prevalence of suicidal ideation among the elderly. These results can be used to develop a suicide prevention program for the elderly.

Keywords

References

  1. Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assesment of suicide intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47(2), 343-352. https://doi.org/10.1037/0022-006X.47.2.343
  2. Corder, B. V., & Showalter, R. K. (1972). Health science and college life. New York: Brown Com.
  3. Corna, L. M., Cairney, J., & Streiner, D. L. (2010). Suicide ideation in order adults: relationships to mental health problems and service use. The Gerontologist, 50(6), 785-797. https://doi.org/10.1093/geront/gnq048
  4. Duberstein, P. R., Conwell, Y., Conner, K. R., Eberly, S., & Caine, E. D. (2004). Suicide at 50 years of age and older: perceived physical illness, family discord, and financial strain. Psychological Medicine, 34, 137-146. https://doi.org/10.1017/S0033291703008584
  5. Harwood, D. M. J., Hawton, K., Hope, T., Harriss, L., & Jacoby, R. (2006). Life problems and physical illness as risk factors for suicids in order people: a descriptive and case-control study. Psychological Medicine, 36, 1265-1274. https://doi.org/10.1017/S0033291706007872
  6. Henry, O., Ai-Vyrn, C., Conal C., & Brian, A. L. (2004). Recent developments: suicide in older people, British Medical Journal, 329(16), 895-899. https://doi.org/10.1136/bmj.329.7471.895
  7. Jo, G. S. (2008). Effect of music therapy on depression, self-esteem and stress of institutionalzed elderly-focusing on s-nursing home in daebudo. Unpublished master's thesis, Gachon University, Inchon.
  8. Jo, K. H., & Kim, Y. K. (2008). Influencing factors on depression, suicidal thought, and life satisfaction of korean elders. Journal of Korean academic society of nursing education, 14(2), 176-187. https://doi.org/10.5977/JKASNE.2008.14.2.176
  9. Kahn, R., Goldfarb, R., Pollack, M., & Peck, A. (1960). Brief objective measures for the determination of mental status in the aged. American Journal of Psychiatry, 117, 326-328. https://doi.org/10.1176/ajp.117.4.326
  10. Kim, C. H. (2014). Factors affecting the suicidal ideation of the young-old and old-old elderly in korea. Unpublished Doctor's thesis, Yeungnam University, Seoul.
  11. Kim, H. S., & Kim, B. S. (2007). A path analysis on suicidal ideation in the elderly. Korean Journal of Counseling and Psychotherapy, 19(3), 801-818.
  12. Kim, J. S. (2007). Comparisons of health status and health care needs between institutionalized and community-living elders. Unpublished master's thesis, Chonbuk National University, Jeonju.
  13. Kim, K. B., Kim, H. A., & Sok, S. R. (2008). A study on health perception, health knowledge, and health promoting behavior in the elderly. Journal of East-West Nursing Research, 14(1), 56-67.
  14. Kim, Y. K. (2008). A Study on the Influence Factors related to Health Status and Life Satisfaction of the Elderly accomodated in Welfare Facility-Focused on Free and Charged Welfare Facility. Unpublished master's thesis, Keimyung University, Daegu.
  15. Miller, J. S., Segal, D. L., & Coolidge, F. L. (2001). A comparison of suicidal thinking and reasons for living among younger and older adults. Death Studies, 25, 357-365. https://doi.org/10.1080/07481180126250
  16. Neufeld, E. & O'Rourke, N. (2009). Impulsivity and hopelessness as predictors of suicide-related ideation among older adults. Le Revue Canadienne de Psychiatrie, 54(10), 684-692.
  17. Park, G. H. (1995). Relations between health promoting lifestyle and health conceotion, self efficacy, hardiness. Unpublished master's thesis, Ewha womans University, Seoul.
  18. Park, Y. R., & Yoo, Y. G. (2013). The effects of health management program on health-program lifestyle and depression in older adults living at home. Korean Journal of Rehability Nursing, 16(1), 71-78. https://doi.org/10.7587/kjrehn.2013.71
  19. Pender, N. J. (1987). Health promotion in nursing practice. 2nd rev. ed. Norwalk, Conn : Appleton & Lange.
  20. Rosenberg, M. (1965). Society and adolescent self-image. New Jersey: Princeton University Press.
  21. Schroepfer, T. A. (2008). Social relationships and their role in the consideration to hasten death. The Gerontology, 17, 191-198.
  22. Seo, H. S., & Jung, I. S. (2010). The relationship between self-esteem, family support and suicide ideation in home dwelling elders. Journal Korean Genrontology Nursing, 12(1), 1-9.
  23. Shin, H. C., Kim, C. H., Cho, B. L., Won, J. W., Song, S. W., Park, Y. K., Yun, Y. H., & Chung, S. P. (2002). The development of a Korean health status measure for the elderly. Journal of the Korean Academy of Family Medicine, 23(4), 440-457.
  24. Song, K. S. (2007). Influencing factors of self-esteem in the elderly. Unpublished master's thesis, Kyunghee University, Seoul.
  25. Song, I. H., Kwon, S. W., & Kim, J. H. (2013). The effect of health promotion behavior on suicidal ideation among adolescents: analysis of the mediating effect of self-efficacy. Korean Journal of Youth Studies, 20(9), 97-123.
  26. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile : deveolopment and psychometric characteristics. Nursing Research, 36(2), 76-81.
  27. Yang, N. Y., & Moon, S. Y. (2012). The effects of suisidal thought on health status, social support, and life satisfaction in elderly. Journal of Digital Convergence, 10(11), 1-10.
  28. Ministry of Health & Welfare. (2010). http://stat.mw.go.kr.
  29. Yang, N. Y. (2012). The correlational study on health-promoting behavior, self-esteem, and life satisfaction of elderly. Journal of Academiy Society home Care Nursing, 19(2), 112-118.
  30. Yang, N. Y., & Moon, S. Y. (2010). Effects of self-esteem and health status on adaptation of elderly residents in facilities. Journal of Korean Academiy Adult Nursing, 22(5), 552-560.