• Title/Summary/Keyword: 노인 정신건강

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Comparison of Family Support and Mental Health Between the Rural and Urban Elderly (농촌과 도시지역 노인의 가족지지와 정신건강에 관한 비교)

  • Min, Kyung-Hwa;Kim, Sang-Soon
    • Journal of agricultural medicine and community health
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    • v.20 no.2
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    • pp.175-185
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    • 1995
  • This study is to compare family support and mental health between the rural and the urban elderly. In order to do that I collected the data through questioning 238 people in 3 urban areas in Busan and 201 people in 9 rural areas near Daegu. The degree of their family support is 36.70 on the average in the rural area and 40.77 in the urban area. The degree of family support of urban elderly is a little higher. According to general characters between the differences of family support in both areas, in the rural area there are differences in sex, age, whether they have a spouse or not, education level, financial state, number of children, number of co living, status of co living, subjective health status, amount of pocket money and how much they are participating in leisure activity. In the urban area there are differences in sex, whether they have a spouse or not, religion, financial state, number of co living, status of co living, subjective health status, amount of pocket money, how much they are participating in leisure activity and house pattern. In the stepwise multiple regression analysis the main variables that affect degree of family support in the rural area are age, whether they have a spouse or not and financial state which account for 33% of the total variance and in the urban area are subjective health status, financial state, whether they have a spouse or not and number of co-living which account for 35%. Health status is better in the urban area(average 36.87) than in the rural area(57.42). In each item the people whose mark was more than 75%(low) have Depression 8.4%, Somatization 8.0% in the urban area and Somatization 8.5%, Depression 8.5%, Anxiety 4.0%, Phobic anxiety 4.0%, Obsessive compulsive reaction 2.5%, Hostility 2.0%, Paranoid ideation 2.0%, Psychoticism 1.5% and Interpersonal sensitivity 1.5% in the rural area. In the mental health condition, on the basis of 4 points in both areas, the average is Somatization(rural : 1.69, urban : 1.51), Depression (rural : 1.64, urban : 1.37) and Obsessive compulsive reaction(rural : 1.33, urban : 0.99). According to the differences between mental health conditions by general characters, in the rural area the differences are presented in sex, age, whether they have a spouse or not, religion, education level, financial state, number of children, status of co living, subjective health status, amount of pocket money and how much they are participating in leisure activity, in the urban area the differences are presented in sex, whether they have a spouse or not, religion, financial state, number of co living, status of co living, subjective health status, house pattern, amount of pocket money and how much they are participating in leisure activity. In the stepwise multiple regression analysis the main variables that affect mental health condition in the rural are family support degree subjective health status, religion sex, age and financial state which account for 43% of the total and in the urban area are family support degree, subjective health status and financial state which account for 51%. In the matter of family support degree and mental health condition the rural area was -0.4555, of urban area was -0.6446. The rural area that has a high percentage in family support degree and mental health condition Depression was -0.5036, Psychoticism was -0.4265 in the urban area Psychoticism was -0.6452, Depression was -0.5955. Family support has a great influence on mental health of old people and family support and mental health condition can be different according to living area. So in their problems nursing intervention through family and nursing strategies according to living area should be established.

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Development and effects analysis research of mental health importment program for elderly women (여성 노인의 정신 건강 향상 프로그램 개발 및 효과 분석 연구)

  • Kim, Hee-suk;Kim, So-Jin
    • Journal of Digital Convergence
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    • v.18 no.7
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    • pp.237-246
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    • 2020
  • The purpose of this research is to construct a program for mental health of elderly women and to verify its effectiveness. Researchers in order to verify the effectiveness of this research, a garden cultivation program was conducted for 14 elderly women, and the effectiveness was analyzed quantitatively and qualitatively, In quantitative analysis, nonparametric statistical methods were used, and in qualitative analysis, the content of interviews was written and analyzed. As a result, the mental health of elderly women who participated in garden cultivation programs improved. In particular, in qualitative analysis through interviews, garden cultivation gave participants a chance to escape boredom, motivated them to hang out with others. In addition, the harvest that the participants gained through their efforts, for the participants, fulfillment and unconditional sharing delighted them, indicating a positive change in the mental health of elderly women.

A Comparative Analysis of Mental Status, Dietary Life and Nutritional Status among Senior Citizens With or Without Leisure Activities in Urban Area (수도권 거주 노인들의 여가활동 유무에 따른 정신건강 수준, 식생활 실태 및 영양상태 비교 분석)

  • Kim, Yun-Hye;Ha, Tae-Youl;Lee, Bog-Hieu
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.4
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    • pp.422-429
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    • 2006
  • The study aims to examine that regular leisure activity of the elderly has a beneficial effect to enhance their health condition. The elderly subjects of 164 (82 of elderly who do leisure and 82 of elderly who do not leisure) aged over 60 years in Suwon area were employed. Survey questionnaires were administered to investigate general characteristics, life style, mental status, dietary life and nutritional status. From the findings, the elderly who do leisure were highly educated, better in living status and higher employment rate. The mental status of the elderly without leisure activity was very much inferior to that of the elderly with leisure activity, representing higher prevalence rate of depression. Furthermore, the elderly who do not leisure showed higher drinking and smoking rates, irregular eating habits, poor teeth condition and chewing style as well as having eating obstacles. Mean caloric intake of both the elderly was also lower than that of RDA. The elderly who do not leisure have shown lower intakes in most of essential nutrients in contrast to the elderly who do leisure. In conclusion, the elderly with regular leisure activity seemed to have better life style and mental status, dietary life and nutritional status. Therefore, it is critically important to establish the health program combined with various leisure activity for the seniors to promote and energize the later years of life.

The Effects of Self-Care Activities on the Physical and Mental Health of Primary Caregivers of Functionally Impaired Elderly (기능손상 노인을 돌보는 주보호자의 자기 돌봄 활동이 자신의 신체·정신건강에 미치는 영향)

  • Kim, Jeong Eun;Choi, Hae Kyung
    • Korean Journal of Family Social Work
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    • no.55
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    • pp.157-188
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    • 2017
  • The purpose of this study was to examine the effects of self-care activities on physical and mental health of primary caregivers of functionally impaired elderly. Data were collected from 185 primary caregivers who were caring for their spouses or parents with functional impairment at home in Daejon. SPSS 21.0 software was used for descriptive analysis and hierarchical regression analysis. The results showed that (1) primary caregivers reported their physical health status as poor (2) the domains of health responsibility, physical activity in their self-care activities were significant predictors of their physical health level (3) primary caregivers reported very high level of depression (4) their mental health was significantly influenced by spiritual growth among self-care activities. Based on these findings, social work intervention and policy suggestions were discussed.

Comparison of Factors Associated With Agitation Among Youngest-Old, Middle-Old, and Oldest-Old Hospitalized Patients Referred to the Psychiatric Department (정신건강의학과에 협진의뢰된 연소노인, 고령노인, 초고령노인 입원환자의 초조의 연관요인 비교)

  • Min-Suk Jang;Seo-Hyun Choi;Se-ri Maeng;Yang-Sik Kim;Jae-Nam Bae;Jeong-Seop Lee;Won-Hyoung Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.89-99
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    • 2023
  • Objectives : In this study, elderly hospitalized patients aged 65 years or older who were admitted to a university hospital and referred to the department of psychiatry were classified into youngest-old, middle-old, and oldest-old. It was conducted to find out what factors contribute to the agitation pattern by age group, whether there is a difference in the factors, and whether there is a difference in the severity of the agitation pattern. Methods : From July 1, 2021 to December 31, 2021, the medical records of patients aged 65 years or older who were referred to the department of psychiatry were retrospectively reviewed. Age, gender, route of hospitalization, department of referral, reason for referral, treatment method, presence of internal and surgical diseases, and hematological test data were investigated. Results : There was a significant correlation with the RASS score in cases of surgery referral and high CRP levels for youngest-old aged 65 to 74 years, in cases of surgery referral, dementia and hyponatremia for middle-old aged 75 to 84 years, in case of dementia for oldest-old aged 85 years old or older. In addition, there were differences in the severity of agitation patterns between age groups. Conclusions : As the age group increases, the agitation of delirium patients becomes more severe, and various factors contributing to the agitation pattern also differ by age group. Therefore, when treating elderly patients with delirium, attention should be paid to factors that may affect agitation depending on age.

Analysis of Convergence Factors on Physical and Mental Health Status according to Existence of Spouses of the Elderly - The 8th Korea National Health and Nutrition Examination Survey(2019) - (노인의 배우자 유무가 신체와 정신건강에 미치는 융합 요인 분석 -국민건강영향조사 제8기 조사를 이용하여-)

  • Park, Jeong Min;Kim, Seong Min
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.501-510
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    • 2021
  • This study is a secondary data analysis study that analyzed the data of the 8th Korea National Health and Nutrition Examination Survey(2019) to identify factors that affect physical and mental health status according to the presence or absence of a spouse of the elderly. 𝜒2 test, logistic and linear regression analysis were performed on 1,510 elderly aged 65 years or older. As a result of the study, general characteristics (gender, age, education level, household income) and health-related characteristics (smoking, drinking, and physical activity) were adjusted according to the spouse status. As a result, compared to those without a spouse, the probability of diagnosis of arthritis (OR=0.673, p=.010) and the Possibility of experiencing depression (OR=0.535, p=003) lower. It was confirmed that the quality of life was significantly higher (B=0.023, p=.040). The results of this study can be used as basic data to determine the factors that influence the health status of the elderly by existence of spouses.

Risk Factors of Socio-Demographic Variables to Depressive Symptoms and Suicidality in Elderly Who Live Alone at One Urban Region (일 도시지역의 독거노인에 있어서 우울증상 및 자살경향성에 영향을 미치는 인구학적 변인에 대한 고찰)

  • Park, Hoon-Sub;Oh, Hee-jin;Kwon, Min-Young;Kang, Min-Jeong;Eun, Tae-Kyung;Seo, Min-Cheol;Oh, Jong-Kil;Kim, Eui-Joong;Joo, Eun-Jeong;Bang, Soo-Young;Lee, Kyu Young
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.1
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    • pp.36-46
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    • 2015
  • Objectives: To understand the risk factors of demographic data in geriatric depression scale, and suicidality among in elderly who live alone at one urban region. Methods:In 2009, 589 elderly who live alone(age${\geq}$65) were carried out a survey about several socio-demographic data, Korean version of the Geriatric Depression Scale(SGDS-K) and Suicidal Ideation Questionnaire (SIQ). Statistical analysis was performed for the collected data. Results: Mean age of elderly who live alone is 75.69(SD 6.17). 40.1% of participants uneducated, 31.4% graduate from elementary school, 12.9% graduate from high school, 11.7% graduate from middle school, 3.2% graduate from university. Religionless, having past history of depression or physical diseases, low subjective satisfaction of family situation, and not having any social group activity have significance to depressive symptoms of elderly who live alone. Having past history of depression, religionless, low subjective satisfaction of family situation have significance to suicidality. Especially, low subjective satisfaction of family situation and having past history of depression are powerful demographic factor both depressive symptoms and suicidality of elderly who live alone. Conclusions: When we take care elderly who live alone, we should consider many things, but especially the social support network such as family satisfaction and past history of depression for reducing or preventing their depression and suicide both elderly depression and suicide who live alone.

Association between Sleep and Loneliness in the Elderly Living Alone (독거노인의 외로움과 수면의 관계)

  • Choi, Yu Jung;Lee, Kyung Kyu;Lee, Seok Bum;Kim, Kyung Min;Kim, Dohyun;Lee, Jung Jae
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.2
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    • pp.168-176
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    • 2020
  • Objectives : Loneliness and poor sleep quality are common phenomena in old age and are associated with negative physical and mental health. However, little is known regarding the relation between loneliness and sleep quality. The aim of this study was to examine the association of loneliness and sleep quality among the elderly living alone. Methods : This is a cross-sectional study that enrolled 1,090 subjects who are the community-residing elderly living alone. Sociodemographic status, medical condition, cognition, mood disorder, sleep quality and levels of loneliness were collected using a self-administered questionnaire and a specific semi-structured interview conducted by trained nurses. Descriptive statistics were used to analyze data regarding sociodemographic variable and loneliness. Univariate and Multivariate regression analyses were applied to examine the association between loneliness and sleep quality after adjustment for multiple confounding variables. Results : The Pittsburgh Sleep Quality Index (PSQI) mean score of "lonely group" (9.2±4.2) was significantly higher than that of "not lonely group" (7.3±3.7) (student-t test, p<0.001). Loneliness was significantly associated with PSQI (standardized β=0.065, p=0.025), sleep disturbance (standardized β=0.086, p=0.005), use of sleep medication (standardized β=0.065, p=0.034) after adjustment for possible confounding variables including sex and mood disorder. Conclusions : Loneliness was associated with sleep disturbance and this finding implied negative impact of loneliness on sleep quality of older adults. Public health promotion efforts to reduce loneliness may improve sleep quality and mental health in the elderly living alone.

A Convergent Study on the Impact of Depression and Self-Esteem on the Quality of Life in Older Adults (우울감과 자아존중감이 노인의 삶의 질에 미치는 융복합 연구)

  • Dong-Gun Kim
    • Journal of Digital Convergence
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    • v.22 no.3
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    • pp.15-23
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    • 2024
  • This study investigates the effects of depression and self-esteem on elderly mental health, quality of life, and life satisfaction, considering South Korea's transition to a super-aged society by 2025. The research aims to propose integrated strategies for effective management of these factors. The findings reveal that depression and self-esteem significantly impact elderly mental health, quality of life, and life satisfaction. Increased depression is associated with decreased quality of life and life satisfaction, while higher self-esteem is linked to reduced depression. Additionally, a reduction in social relationships is found to exacerbate depression and diminish self-esteem. To enhance the quality of life and life satisfaction for the elderly, it is crucial to manage depression and self-esteem systematically and continuously. Thus, an integrated, nationwide approach is needed for effective management.

Factors affecting the ability of older adults to identify symptoms of depression (노인의 우울증상 식별력에 영향을 미치는 요인)

  • Lee, Sun Hae;Ko, Jung Eun
    • 한국노년학
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    • v.29 no.2
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    • pp.529-546
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    • 2009
  • Depression in old age not only is prevalent but also causes a considerable amount of burden in physical, psychosocial, and economic terms. Intervention, however, is often delayed due to the understanding that considers depressive symptoms as a normal process of aging or signs of physical illnesses. Since the recognition of symptoms often initiate one's help seeking process, a correct identification of symptoms can contribute to early detection and intervention to depression in oneself as well as in others. This study interviewed 104 older adults living in an urban area, and explored their ability to correctly identify depressive symptoms and factors related to identification. The study results show that respondents who were able to correctly identify symptoms of depression were only 14%, and the rest defined the symptoms as social, economic, and other psychological issues. Of the factors in the logistic regression model, age being 75 and over and mass media as source of mental health information affected negatively their ability to correctly identify symptoms; mental health education programs affected positively their ability. Based on these results, it is suggested that such strategies as employing a face-to-face provision of concrete information and counseling can be more effective than delivering information via large-scale lectures. Additionally, a future research deems necessary to conduct an in-depth examination of mental health/illness-related contents on mass media.