Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
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Influences of Social Support, Self-esteem and Hope on Health Conservation of the Vulnerable Elderly with Diabetes

취약계층 당뇨병 노인의 사회적지지, 자아존중감 및 희망이 건강보존에 미치는 영향

  • Sung, Kiwol (College of Nursing, Catholic University of Daegu) ;
  • Park, Ji-Hyeon (Department of Nursing, Catholic Sangji College) ;
  • Park, Mi Kyung (College of Nursing, Yeungnam University College)
  • 성기월 (대구가톨릭대학교 간호대학) ;
  • 박지현 (가톨릭상지대학교 간호학과) ;
  • 박미경 (영남이공대학교 간호대학)
  • Received : 2017.05.15
  • Accepted : 2017.10.28
  • Published : 2017.12.31
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Abstract

Purpose: The purpose of this study was to investigate the influence of social support, self - esteem, hope, and health conservation of the vulnerable elderly people with diabetes. Methods: Participants were 100 vulnerable elderly people with diabetes living in D or K cities. Data collection was done through interviews from February to March, 2016. Social support was measured with the MOS-SSS (Medical Outcomes Study Social Support Survey), self-esteem with Self-Esteem Scale, hope with the Nowotny Hope Scale, and health conservation with the Sung's Health Conservation Scale. IBM SPSS 20.0 was used to analyze descriptive statistics, one-way ANOVA, independent t-test, Pearson correlation, and stepwise multiple regression. Results: Factors affecting the health conservation of the vulnerable elderly people were social support, hope, education level and subjective health status. These factors explained 64.9% of the health conservation. Conclusion: It is necessary to construct a comprehensive nursing classification system for elderly people with diabetes in vulnerable class and to develop integrated health conservation program and nursing care as a new social support resource.

Keywords

References

  1. Park EO, Yu M. Frailty and its related factors in vulnerable elderly population by age groups. Journal of Korean Academy of Nursing. 2016;46(6):848-857. https://doi.org/10.4040/jkan.2016.46.6.848
  2. Whang MJ, Lee C. Current status of national basic living security. Research Report. Seoul: The Ministry of Health and Welfare; 2016 November. Report No.:11-12400-00-000868-01.
  3. Jang SM. Factors of influencing subjective health status in the adults with chronic disease- focusing on socio-economic status of diabetics. Mental Health and Social Work. 2015;43(2):32-59.
  4. St. John PD, Tyas SL, Montgomery PR. Depressive symptoms and frailty. International Journal of Geriatric Psychiatry. 2013;28(6):607-614. https://doi.org/10.1002/gps.3866
  5. Kim JG. Equity in health levels and health care utilization of elderly people in Korea. Social Science Research Review. 2011;27(2):65-87.
  6. Seong SC, Son MS. 2015 national health insurance statistical yearbook. Research Report. Wonju: National Health Insurance Service and Health Insurance Review & Assessment Service; 2016 September. Report No:11-B550928-00001-10.
  7. Conn VS, Russell CL. Self-management of chronic illnesses among aging adults. Journal of Gerontological Nursing. 2005;31(5):4. https://doi.org/10.3928/0098-9134-20050501-03
  8. Park SY. Relationships of depression and positive emotions with hope and the mediating and moderating role of family support for people in low-income. Korean Journal of Family Social Work. 2013;40(0):189-214.
  9. Moon MY, Kim MA. Factors related to self management in middle aged and elderly with diabetes mellitus. Journal of Korean Academy of Public Health Nursing. 2005;19(2):261-273.
  10. Lee SH, Jun SS. Effects of an empowerment program on selfesteem and depression for low-income elderly women living alone. The Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(4):311-320. https://doi.org/10.12934/jkpmhn.2012.21.4.311
  11. Jang SH, Kim CS, Kim MR. An effect the social support on the self-esteem and life satisfaction in elderly. Journal East-West Nursing Research. 2008;14(2):39-46.
  12. Lim MK. Relationships between social support and health among low income group in urban area [master's thesis]. [Seoul]: Seoul National University; 2002. 86 p.
  13. Shim MS. A study on self-esteem, social support and health promoting behavior of the low income elderly. Journal of Korean Gerontological Nursing. 2005;7(1):63-70.
  14. Kim JY, Lee JM. A Study on the factor giving effect to self-esteem of low-income old woman. Journal of Community Welfare. 2008;27:259-280.
  15. Lee JK, Lee RH. Material hardship and alcohol use among low-income households in South Korea. The Journal of the Korea Contents Association. 2016;16(7):552-565. https://doi.org/10.5392/JKCA.2016.16.07.552
  16. Kwag KH. Relationship between latent classes of socioeconomic status and self-esteem among elderly living alone. The Journal of the Korea Contents Association. 2016;16(1):1-12. https://doi.org/10.5392/JKCA.2016.16.01.001
  17. Yoe YO, Yoo EK. The relationship among depression, self-esteem and ADL in the case of the hospitalized elderly patients with chronic disease. Journal of Korean Academy of Adult Nursing. 2010;22(6):676-686.
  18. Cho HJ. The effects of hope on life stress, psychopathology and life satisfaction. The Korean Journal of Clinical Psychology. 2010;29(3):839-852. https://doi.org/10.15842/kjcp.2010.29.3.011
  19. Lee BK. A study of hope and quality of life in dialysis patients [master's thesis]. [Seoul]: Ewha Womans University; 2007. 81 p.
  20. Wang LY, Chang PC, Shin FJ, Sun CC, Jeng C. Self-care behavior, hope, and social support in Taiwanese patients awaiting heart transplantation. Journal of Psychosomatic Research. 2006; 61(4):485-491. https://doi.org/10.1016/j.jpsychores.2004.11.013
  21. Ban JY, Park HR, Sohng KY. Hope and related variables in patients undergoing hemopoietic stem cell transplantation for leukemia. Asian Oncology Nursing. 2005;5(2):116-125.
  22. Sung KW. Scale development on health conservation of the institutionalized elderly. Journal of Korean Academy of Nursing. 2005;35(1):113-124. https://doi.org/10.4040/jkan.2005.35.1.113
  23. Oh OW, Kim EJ. Factors influencing health conservation among elders. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(2):134-143.
  24. Chang HK. Influence of frailty, nutritional status, positive thinking and family function on health conservation of the elderly at home. Korean Journal of Adult Nursing. 2015;27(1):52-62. https://doi.org/10.7475/kjan.2015.27.1.52
  25. Sherbourne CD, Stewart AL. The MOS social support survey. Social Science & Medicine. 1991;32(6):705-714. https://doi.org/10.1016/0277-9536(91)90150-B
  26. Rosenberg M. Society and the adolescent self-image. 1st ed. Princeton NJ: Princeton University Press; 1965. 804 p.
  27. Jeon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974;11(1):107-130.
  28. Nowotny ML. Assessment of hope in patients with cancer: development of an instrument. Oncology Nursing Forum. 1989; 16(1):57-61.
  29. Choi SS. A correlational study on spiritual wellness, hope and perceived health status of urban adults [dissertation]. [Seoul]: Yonsei University; 1990. 81 p.
  30. Kim CN. A correlation study on spiritual wellbeing, hope and perceived health status of the rural elderly. Journal of Korean Public Health Nursing. 2004;18(2):342-357.