• Journal of Korean Academy of Rural Health Nursing
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• v.19 no.1
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• pp.55-65
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• 2024

Purpose: This study was intended to gain an in-depth understanding of and explored the experiences and meanings of participating in care services among community-dwelling older adults. Methods: A focus group interview approach was adopted. Twenty older adults were interviewed from November to December 2021 using semi-structured interview questions. The data was analyzed using thematic analysis. Results: Three main themes and seven sub-themes emerged for the elderly people living alone. One main theme was "ambivalence of elderly care services," the second was "desperate need for care services," and the third was "positive changes and expectations experienced with care services." For the elderly people living with their families, two main themes and four sub-themes were identified. One main theme was "care services met within the family system," the second was "needs for care services outside the family system." Conclusion: We aim to provide a basis for strengthening the quality of elderly community care services in the mid- to long-term and establish a system of close linkages between necessary services by understanding the needs of elderly people who live alone or with their families.

• 한국노년학
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• v.32 no.2
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• pp.487-499
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• 2012

The purpose of this study is to find out the degree of powerlessness factors among elderly and by examining the variables(perceived health status, ability of daily living activity, self-esteem, depression, family support, loneliness) which affect such factors. By searching for methods to improve the quality of life for the elderly, efficient nursing procedures can be developed, thereby leading to successful aging. For the study, we purposively collected 300 elderly above the age of 65, residing in the areas of Seoul, Inchon, and Daejeon. 266 samples, survived the data screening, were analyzed by reliability analysis, Spearman correlation, and a multiple regression. As the results, first, the correlated factors of the elderly's powerlessness included depression(r=.597, p<.01), loneliness (r=.423, p<.01), ability of daily living activity(r=.374, p<.01), perceived health status(r=-.304, p<.01), family support(r=-.384, p<.01), and self-esteem(r=-.420, p<.01). Second, factors influencing of powerlessness of them were to show in order of depression(β=.373), loneliness(β=.265), spouse(β=.099), family support(β=.090), monthly allowances(β=.013), these variables accounted for 45.7% of the variance of the elderly's powerlessness. Depression showed to be the most important of the powerlessness factors for the elderly. These findings suggest that nursing researchers need to consider important factors affecting the elderly's powerlessness and nursing interventions focusing on the issues need to be developed.

• 한국노년학
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• v.32 no.3
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• pp.941-954
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• 2012

Purpose: The purpose of this study was to investigate the prevalence of depression and its' correlates among elderly people(young-old vs old-old) with poverty. Methods: The sample was 434 of young-old elderly and 209 of old-old elderly people who were 60 and over and basic livelihood recipient in Korean urban community. Depression was measured by Geriatric Depression Scale by Yesavage et al.(1983) in Korean Version. Results: The prevalence of depression was greater for old-old people(63.2%) compared to young-old people(53.9%). Multivariate logistic regression analysis shows the difference of correlates of depression between young-old and old-old elderly people. Prevalence of depression in young-old people was associated with renting in housing type; bad self-rated health status; lack of regular leisure activity; lack of regular eating habit, whereas old-old people was affected by lower social support; moderate or bad self-rated health status; lack of regular leisure activity Conclusion: The finding of differences in prevalence of depression and its' correlates between young-old and old-old people is expected to promote the screening strategy for elderly at risk of depression in Korean community elderly with poverty.

• 한국노년학
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• v.40 no.1
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• pp.179-196
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• 2020

The purpose of this study was to identify the factors impacting fear of dementia, targeting the aged in the community. The study targeted 258 seniors aged 65 or older attending the senior college or using the senior citizen community center in areas of Jeollannam-do. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and a stepwise multiple linear regression. Fear of dementia of the aged showed significant positive correlations with dementia anxiety, and aged anxiety. dementia anxiety, aged anxiety, dementia experience, use of a hearing aid, religion, level of dementia interest were significant predictors influencing fear of dementia of aged in the community, and these variables accounted for 37.2% of the variance. Therefore, this study suggests that in order to p revent fear of dementia of aged people in the primary health care setting, it is necessary to have a nurse's assessment on the factors affecting dementia as well as a multi-faceted education strategy for proper recognition of dementia.

• Journal of Korean Academy of Nursing
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• v.35 no.5
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• pp.943-954
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• 2005

Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly on health promotion lifestyle and health status. Method: The study was a nonequivalent control group pre-post experimental design. Data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. 44 elders were in the experimental group and 45 elders were in the control group. The 16-week health promotion program was given to the experimental group. Data was analyzed by descriptive statistics, $x^2$-test, t-test, and ANCOV A test with SPSS/Win 10.0 program. Result: The experimental group showed higher scores of a health promotion lifestyle and perceived health status than the control group. In addition, systolic BP, heart rate, body fat and glucose of the experimental group were lower than the control group. Waist flexibility, left hand grip power, back strength and leg strength of the experimental group were higher than the control group. However, there were no significant differences in diastolic BP, total cholesterol and right hand grip power between the two groups. Conclusion: This health promotion program for rural elderly can be recommended as an effective nursing intervention in rural communities.

• 한국노년학
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• v.28 no.4
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• pp.785-796
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• 2008

The purpose of this study is to explore and analyze the trend of health and nursing researches published in the Journal of the Korean Gerontological Society for 30 years. Total 62 issues of the journal were reviewed and 135 articles(18.3%) were determined as health and nursing research. Among those 135 articles, studies with quantitative methodology were 110(81.5%) and ones with qualitative methodology were 10(7.4%). Less study adopt age criteria as elderly of 65 years old or older and most studies included community dwelling elderly in urban area. Among those quantitative researches survey was the most popular method(82.7%) compared to other types of studies including experimental studies. Experimental studies has been increased since the journal issued for the first time in the year of 1980, yet has occupied only minor portion in the journal until now. Qualitative studies appeared in the journal in the 90' for the first time. The findings of this review suggest that adequate amount of the studies has been published in the field of health and nursing, however more qualified researches are needed to be performed in terms of larger and more diverse subject groups, clearer and more objective criteria of elderly definition and health status, utilizing more objective and scientific instrument. Instruments of Korean culture oriented and phenomena sensitive are needed to be developed as well.

• Journal of Convergence for Information Technology
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• v.11 no.1
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• pp.34-44
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• 2021

This study aimed to understand the meaning and essence of the experience of bodily change in young-old adults. van Manen's hermeneutic phenomenological method was utilized. Study participants were 11 elderly who 65 to 74 residing in J city. Data were collected from in-depth individual interviews with the participants from July to September 2016. The essential themes were identified regarding the experience of bodily change in young-old adults: 'self-pity about perceived aging', 'myself projected onto others', 'wants to hold on passing of the time', and 'priority on wellbeing than appearance'. The present findings can be used as important basic data for the development of nursing interventions and improving quality of life for young-old adults.

• Korean Journal of Adult Nursing
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• v.19 no.3
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• pp.379-388
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• 2007

Purpose: The purposes of this study were to compare the motivation for health behavior, health behaviors practices, and ADL of institutionalized elderly women with those of non-institutionalized elderly women. Methods: A cross-sectional descriptive survey was conducted in convenience samples of 144 aged women(80 institutionalized and 64 non-institutionalized) using structured questionnaires. Descriptive statistics, $x^2$-test, and ANCOVA were used for data analysis with SPSS program. Results: The institutionalized elderly reported significantly higher motivation than the non-institutionalized elderly. In subcategories of motivation, self-efficacy of the institutionalized elderly was significantly lower than that of the non-institutionalized elderly. The non-institutionalized elderly reported significantly lower perceived benefits and significantly higher perceived barriers than institutionalized elderly. The institutionalized elderly reported significantly lower health behaviors in exercise and nutrition than the non-institutionalized elderly. Among health behaviors of the non-institutionalized elderly women, stress management marked the lowest score. Conclusion: To enhance motivation of institutionalized elderly women, interventions for building self-efficacy are needed. To promote the health behavior of the non-institutionalized elderly, stress management programs are needed. All elderly women need exercise.

• Journal of Korean Academy of Nursing
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• v.42 no.4
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• pp.525-536
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• 2012

Purpose: The purpose of the study was to evaluate effectiveness of a peer support program conducted by older community volunteers for older adults living alone. Methods: Thirty volunteers trained as peer supporters were matched with low-income, older adults living alone in the community on gender. Visits occurred on a weekly basis over the 12 month study period, and the volunteers provided peer support for health management to solitary older adults. Data were collected, before the start of the program and again 6 and 12 months after its initialization, from intervention and control groups regarding physical health, general health, mental health, depression, social functioning, and satisfaction with social support. Repeated measures ANOVA was used to analyze data. Results: By the end of the program, socially isolated older adults in the intervention group had significantly higher scores in physical health and general health than elders in the control group. Significant interaction effects between time and group were found for depression, social functioning, and satisfaction with social support. Conclusion: The peer support program undertaken by older community volunteers was effective in improving physical health, general health, depression, social functioning, and satisfaction with social support in socially isolated, low-income, older adults.

• Journal of Digital Convergence
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• v.17 no.2
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• pp.243-254
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• 2019

The purpose of this study was to investigate the effect of helplessness, depression, subjective health status, family support, and social support on health promoting behaviors of elderly people over 65 years old. The subjects of this study were 3 welfare centers in G city and C city, 3 senior citizen center and 225 elderly people in 2 geriatric hospital, and this study was analyzed with descriptive statistics, reliability, correlation, confirmatory factor analysis, fitness test, total effect, direct effect, and indirect effect. The direct effects of variables affecting health promoting behaviors were social support, depression, family support, subjective health status, and helplessness. These variables accounted for 66% of health promoting behaviors. Depression, helplessness had a significant indirect effect on family support and social support, and subjective health status had a significant indirect effect on social support, but didn't have a significant indirect effect on family support. In this paper, we propose a new approach to elderly's health promoting behaviors and it is recommended that an intervention program be developed and applied to on personal situation should be necessary for elder's depression, helplessness and subjective health status.