Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Relationships among Pain, Depression, Health behavior, and Activities of Daily Living in Older Adults after Femur Fracture Surgery

대퇴골절 수술을 받은 노인의 통증, 우울, 건강행위와 일상생활수행능력의 관계

  • Shin, Soon Sik (Samsung Changwon Medical Center) ;
  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University)
  • 신순식 (삼성창원병원) ;
  • 은영 (경상대학교 간호대학.건강과학연구원)
  • Received : 2014.10.21
  • Accepted : 2015.03.04
  • Published : 2015.04.30
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Abstract

Purpose: The purpose of this study was to explore the relationships among pain, depression, health behaviors, and activities of daily living (ADL) in older adults after femur fracture surgery. Methods: This was a descriptive correlational study. Ninety seven outpatients aged 65 or older were selected, who agreed to participate and visited the four hospitals located in G providence. Numeric Rating Scale (NRS) for pain, a Short form Geriatric Depression Scale (SGDS) for depression, health behavior scale and Korean version of Bathel Index for ADL were used. Data were analyzed using t-test and ANOVA, Pearson's correlation and the hierarchical regression analysis in SPSS 18. Results: Pain and depression were positively correlated (r=.35, p<.001). Pain and health behaviors (r=-.30, p=.010), pain and ADL (r=-.21, p=.044), depression and health behaviors (r=-.51, p<.001), depression and ADL (r=-.29, p=.004) were negatively correlated. The variables affecting the ADL was intake of a painkiller or not (${\beta}$=-.32), age (${\beta}$=-.25), transitional period after discharge (${\beta}$=.23) and depression (${\beta}$=-.23). ADL was accounted for 33.4% in total by these four variables. Conclusion: Interventions for alleviating pain, and managing depression would be effective in enhancing ADL in older adults after femur fracture surgery.

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