The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Health Perception and Family Support as Influencing Factors on Depression in Hospitalized Elderly Patients

건강지각과 가족지지가 입원 노인환자의 우울에 미치는 영향

  • Received : 2015.11.01
  • Accepted : 2015.12.07
  • Published : 2015.12.31
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Abstract

Objectives : The purpose of this study was to test the influencing effects of health perception and family support on depression in elderly patients. Methods : Two-hundred forty-nine hospitalized geriatric patients were recruited in B city, South Korea. They were asked to complete a questionnaire, and 214 data sets were included in multiple regression analysis. Results : Subjects perceived a higher level of depression. Influencing factors of depression were hospitalization experience (t=3.476, p=.001), health perception (t=-3.310, p=.001), education (t=2.684, p=.008), economic satisfaction (t=2.579, p=.011), satisfaction with allowance (t=2.262, p=.025), and family support (t=-2.200, p=.029). The model was statistically significant explaining 36.3% of the variance (F=21.257, p<.001). Conclusions : In dealing with depression, nurses in elderly care facilities should be more concerned about patients with hospitalization experiences. Interventions to improve health perception should be provided to elderly patients, and educational programs on how to support patients are needed for the families of patients.

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References

  1. Korea National Statistical Office(2006), Population projection: Aged population by sex and age group. Retrieved November 30, 2006, from http://www.nso.go.kr
  2. S.J. Kim(2007), Factors associated with nursing home selection and family satisfaction in nursing home service, Unpublished master's thesis, Yonsei University, pp.1-74.
  3. Korea Institute for Health and Social Affairs(2006), http://www.kihasa.re.kr/html/jsp/
  4. K.S. Lee(1998), A study on health perception and health promoting behavior of the elderly, Unpublished master's thesis, Chonbuk National University, pp.1-65.
  5. N.H. Kim(2009), Health promoting lifestyle patterns and health perception in the elderly using the welfare centers, Unpublished master's thesis, The Catholic University, pp.1-35.
  6. J.S. Norbeck(1981), Social support: A model for clinical research and application, Advances in Nursing Science, Vol.3;43-59.
  7. N.C. Kim, S. Yang(2001), Physical health status and depression of a community-dwelling elderly group, Journal of Korean Academy of Nursing, Vol.31(6);1012-1021. https://doi.org/10.4040/jkan.2001.31.6.1012
  8. B.S. Kee, C.W. Lee(1995), A preliminary study for the standardization of geriatric depression scale in Korea, Journal of Korean Neuropsychiatric Association, Vol.34(16);1875-7882.
  9. S. Cobb(1976), Social support as a moderator of life stress, Psychosomatic medicine, Vol.38(5);300-314. https://doi.org/10.1097/00006842-197609000-00003
  10. E. Shanas(1979), The family as a social support system in old age, The Gerontologist, Vol.19(2);169-174. https://doi.org/10.1093/geront/19.2.169
  11. S.Y. Seo(2010), Life satisfaction, activities of daily living, depression and health behavior of low income elderly living at home, Journal of Muscle and Joint Health, Vol.17(2);162-172. https://doi.org/10.5953/JMJH.2010.17.2.162
  12. I.S. Won, K.H. Kim(2008), Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services, Journal of Korean Academy of Nursing, Vol.38(1);1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  13. R.A. Schoevers, A.T. Beekman, D.J. Deeg, C. Hooijer, C. Jonker, W. van Tilburg(2003), The natural history of late-life depression: Result from the amsterdam study of the elderly (AMSTEL), Journal of Affective Disorders, Vol.76;5-7. https://doi.org/10.1016/S0165-0327(02)00060-5
  14. J. Gazmararian, D. Baker, R. Parker, D.G. Blazer(2000), A multivariate analysis of factors associated with depression: Evaluating the role of health literacy as a potential contributor, Archives of internal Medicine, Vol.160;3307-3314. https://doi.org/10.1001/archinte.160.21.3307
  15. K.L. Chou, I. Chi(2005), Prevalence and correlates of depression in Chinese oldest old, International Journal of Geriatric Psychiatry, Vol.20;41-50. https://doi.org/10.1002/gps.1246
  16. J.Y. An, Y.R. Tak(2009), Depressive symptoms and related risk factors in old and oldest-old elderly people with arthritis, Journal of Korean Academy of Nursing, Vol.39(1);72-83. https://doi.org/10.4040/jkan.2009.39.1.72
  17. J.E. Ware(1979), Health perception questionnaire instruments for measuring nursing practice and other care variables, Hyattsville, Maryland: DHEW Publication, pp.158-161.
  18. H.S. Kang(1984), Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities, Unpublished doctoral dissertation, Yonsei University, pp.1-125.
  19. A.K. Chang, Y.H. Park(2010), Sense of control, social support, depression, and adjustment of nursing home residents, Korean Journal of Adult Nursing, Vol.22(5);519-528.
  20. S.Y. Sohn(2014), A study on factors affecting the elderly suicidal ideation in Korea, The Korean Journal of Health Service Management, Vol.8(2);149-160. https://doi.org/10.12811/kshsm.2014.8.2.149
  21. J.Y. Hong, S.Y. Hwang(2010), A study on depression and activities of daily living among elderly patients in geriatric hospitals, Korean Journal of Adult Nursing, Vol.22(5);457-465.
  22. Y.M. Lee(2014), Relationship among pain, depression and activities of daily living in nursing home residents, Journal of the Korea Academia-Industrial cooperation Society, Vol.15(11);6728-6738. https://doi.org/10.5762/KAIS.2014.15.11.6728
  23. G.B. Yoon, Y.J. Jee, Y.J. Kim(2010), The factors related to depression of the elderly patients in four geriatric hospital located in B metropolitan city, Korean Journal of Adult Nursing, Vol.22(6);14-21.
  24. C. Onishi, K. Yuasa, M. Sei, A.A. Ewis, T. Nakano, H. Munakata et al.(2010), Determinants of life satisfaction among Japanese elderly women attending health care and welfare service facilities, The Journal of Medical Investigation, Vol.57;69-80. https://doi.org/10.2152/jmi.57.69
  25. H.J. Yoo, S.Y. Kim, H.W. Nam, Y.K. No, S.H. Sin, J.R. Yoon et al.(2005), Geriatrics medicine, Seoul: The Korean Geriatrics Society, p.284, 935.