• Title/Summary/Keyword: Depression in the elderly

Search Result 1,289, Processing Time 0.027 seconds

Predictors of Social Service Utilization of Elderly Using the Anderson model (Anderson 모형을 이용한 노인의 사회서비스 이용 예측요인)

  • Jeon, Byeong-Joo;Han, Ae-Kyeong
    • Journal of Digital Convergence
    • /
    • v.12 no.8
    • /
    • pp.19-27
    • /
    • 2014
  • Traditionally, Anderson model is recognized as suitable for analysis of predictive factors for the use of medical and social services. Therefore, the present study was aimed to investigate the predictors of the elderly's use of the social service based on previous studies by configuring Anderson model's predisposing factors(gender, age, education level, place of residence, marital status), enabling factors(economic status, health literacy, use of welfare center or not), and need factors(whether held chronic disease, IADL and depression). To this aim, SPSS 18.0 was used for the subject of 329 elderly living in Chungbuk region. The main findings of this study are as follows. The most influential factor on the social service use of the elderly turned out to be whether to use the welfare centers and health literacy of enabling factors. Next, the depressed levels showed the most significant impact among the need factors, and gender was the most influential among the predisposing factors. Based on the results of these studies, some measures were suggested to activate the elderly's use of social services.

The Effects of a Memoir Writing Program for the Elderly Using Cognitive Enhancement Techniques (기억 향상 요소를 강화한 노인 집단 자서전 쓰기 프로그램의 효과)

  • Jin, Young Sun;Kim, Young Kyoung
    • 한국노년학
    • /
    • v.31 no.2
    • /
    • pp.401-417
    • /
    • 2011
  • The life review means a process of appraising life of oneself and it is essential for finding the meaning of life in old age. The memoir writing is a kind of method of life review. The memoir writing program used in this study focused especially on enhancing the cognitive skills by providing priming and retrieval support for memory performance in reminiscing past experiences. All fourteen participants were healthy and normal community dwellers and attended four-month long programof memoir writing classes which are consisted of different themes for each week. The aim of this study was to examine if the memoir writing program would render the positive effect on mental health and cognitive ability of the elderly. The results were that quality of life, life satisfaction, ego integrity of the participants showed positive change and the level of depression was significantly reduced compared to that of the control group. The findings in the present study suggest that the memoir writing can serve as one of the community initiative program to the growing population of the elderly for their emotional and cognitive challenges that they face everyday. To warrant the validity of the program, further study is needed for other sectors of elderly population, such as elderly living alone or those with both physical and/or cognitive disadvantages.

Effect of Group Positive Psychotherapy on the Elderly Living Alone with Depressive Disorder (우울장애가 있는 독거노인에 대한 긍정심리 집단치료의 효과)

  • Lee, Seungwon;Ha, Juwon;Kim, Hyun-Soo;Lee, Jee-Hee;Lee, Ju Young;Lee, Jung-Ae;Oh, Kang Seob
    • Anxiety and mood
    • /
    • v.11 no.1
    • /
    • pp.69-74
    • /
    • 2015
  • Objective : Positive psychotherapy is based on the premise that positive thoughts and satisfaction with life are determinants for improving the symptoms of depressive disorder. This article highlights the effectiveness of group positive psychotherapy on the elderly living alone with depressive disorder in Korea. Methods : A total of 25 Korean elderly living alone with depressive disorder participated in group positive psychotherapy. The participants completed the Hamilton rating scale for depression (HAMD) and the Positive Thinking Questionnaire (PTQ) before and after the group positive psychotherapy. Results : The HAMD and PTQ scores of the participants after the group positive psychotherapy were higher than before the psychotherapy. A correlation between the age of patients and improvement of symptoms after group positive psychotherapy was found : the older the patients were, the better the improvements were. Conclusion : The study shows that group positive psychotherapy in the elderly living alone is effective in improving the symptoms of depressive disorder. The participant's age was found to be a factor that affects the improvement of depressive disorder symptoms.

A study on the relationship between sleep quality, anxiety, depression and cognitive function in the elderly (노인의 수면의 질, 불안, 우울, 인지기능과의 관계연구)

  • Hong, Sunyeun;Koo, Yoon Jung
    • Proceedings of the Korean Society of Computer Information Conference
    • /
    • 2022.07a
    • /
    • pp.681-683
    • /
    • 2022
  • 본 연구는 수면의 질, 우울, 불안, 인지기능을 확인하고 이들의 상관관계를 알아보는 서술적 상관관계연구 연구이다. K도 G시, D시에 위치한 10곳의 경로당에서 65세 이상 일반노인 130명을 대상으로 설문조사를 통해 자료를 수집하였다. 수집된 자료는 SPSS WIN 20.0 프로그램을 이용하여 대상자의 일반적 특성의 빈도, 백분율을 산출하였고 대상자의 수면의 질, 불안, 우울, 인지정도의 평균, 표준 편차을 산출하였으며, 대상자의 일반적 특성에 따른 수면의 질, 불안, 우울, 인지정도를 t-test와 one-way ANOVA로 분석하였으며, 대상자의 수면의 질, 불안, 우울, 인지정도의 상관관계 검정은 Pearson's correlation coefficient를 실시하였다. 연구결과는 수면의 질, 불안, 우울, 인지기능의 상관관계는 불안과 수면의 질(p=-.422), 우울과 수면의 질(p=-.552)간에 유의한 음의 상관관계가 있는 것으로 나타났고, 불안과 우울은 유의한 양의 상관관계가 있는 것으로 나타났다. 노인이 지각하는 수면의 질과 우울, 불안, 인지기능의 정도를 파악하고 노인수면증진을 위한 간호중재 개발에 기초자료가 될 수 있을 것이다.

  • PDF

The Meta-analysis on Variables related to Ego Integrity of Elderly in Korea (한국노인의 자아통합감 관련변인에 대한 메타분석)

  • Kim, Ilsik;Kim, Gyeryung;Seo, Hochan
    • 한국노년학
    • /
    • v.37 no.3
    • /
    • pp.637-653
    • /
    • 2017
  • Meta-analysis was conducted on 56 studies published in Korea until April 2017 to systematically integrate factors of ego integrity of the elderly. The variables related to ego integrity were divided into 6 groups of variable, and the effect sizes were computed for each variable of their groups. The analysis results are as follows. First, the total effect size showed the middle effect size, and the effect size according to the variable group showed the largest effect size for the positive psychological variable group, followed by the negative psychological variable, the physical variable, the familial variable, the social variable and the demographic variable. Second, the largest effect size of the sub-variables on the each individual variable group showed positive psychological variable was life quality, negative psychological variable was depression, physical variable was health behavior, familial variable was children relationship, social variable was social support and demographic variable was economic status. As described above, suggesting that these variables may have a strong influence on ego integrity among the variables related to ego integrity because the quality of life, life satisfaction and depression were shown as the largest effective variables related to ego integrity.

Predictors of Self-care Behaviors among Elderly with Hypertension using Quantile Regression Method (분위회귀분석법을 이용한 노인 고혈압 환자의 자가간호에 따른 분위별 영향 요인)

  • Lee, Eun Ju;Park, Euna
    • Korean Journal of Adult Nursing
    • /
    • v.27 no.3
    • /
    • pp.273-282
    • /
    • 2015
  • Purpose: The objective of this study was to identify the predictors of self-care behaviors among elderly patients with hypertension using quantile regression method. Methods: A total of 253 elderly patients diagnosed with hypertension was recruited via 3 different medical clinics for the study. The quantile regression and a liner regression was conducted using Stata 12.0 program by analyzing predictors of self-care behaviors. Results: In the ordinary least square, self-efficacy, period of disease, and education level explained 42% of the variance in self-care activities. In the quantile regression, affecting predictors of self-care behaviors were self-efficacy for all quantiles, the period of disease for from 60% quantile to 90% quantile, education level for 20%, 30%, and 50% quantiles, economic status for 10%, 50%, and 60% quantiles, age for 10%, 70% quantiles, fatigue for 10% quantile, knowledge about hypertension for 10% and 20% quantiles, and depression for 30% and 40% quantiles. Conclusion: The affecting predictors of self-care behaviors among elderly with hypertension were different from the level of self-care behaviors. These results indicated the significance in assessing predictors according to the level of self-care behaviors when clinical nurses examine the patients' health behaviors and plan any intervention strategies. Specially, education level and knowledge about hypertension were the significant predictors of self-care activities for low quantiles. Clinical nurses may promote self-care activities of the given population though health education programs.

Factors Influencing Suicidal Ideation by Life Cycle of Korean Adults (한국 성인의 생애주기별 자살생각 영향요인)

  • Bang, So-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.22 no.5
    • /
    • pp.60-70
    • /
    • 2021
  • The purpose of this study was to promote an understanding of suicidal ideation and identify the factors that influence suicide ideation according to the life cycle of Korean adults. This study was a secondary analysis study using the Korea Health Panel 2016 data. Among adults over 19 years of age, 14,538 people with no missing values in suicidal ideation and influencing factors were classified into young adults (19-39 years old), middle-aged adults (40-64 years old), and the elderly (65 years or over). The data were analyzed by multiple logistic regression. The results showed that 2.9% (108 people) of young adults, 3.2% (181 people) of middle-aged adults, and 3.7% (80 people) of the elderly had suicide ideation over the past year. Factors influencing suicidal ideation by life cycle were anxiety, depression, drug use and quality of life for young adults, subjective health status, stress, anxiety, depression, drug use and quality of life for middle-aged adults. The factors affecting the elderly were body mass index, stress, anxiety, depression, and quality of life. Therefore, factors influencing suicidal ideation should be considered as a major factor for screening risk groups according to the life cycle, and differentiated intervention programs should be developed and provided to prevent and manage suicide in risk groups.

Effectiveness of a Comprehensive Health Promotion Program based on the Primary Health Care Post for Rural Elders (농촌 노인을 위한 보건진료소 중심의 포괄적 건강증진 프로그램의 효과 검증)

  • Kim, Yeongsug;Kang, Young-Sil;Ha, Yeongmi
    • Journal of Korean Academy of Rural Health Nursing
    • /
    • v.14 no.2
    • /
    • pp.30-37
    • /
    • 2019
  • Purpose: This study was done to develop a comprehensive health promotion program based on the primary health care post, and then to examine the effectiveness of the program for rural elders. Methods: A single group pre-test post-test design was used, for 3 months and the 51 participants received the comprehensive health promotion program based on the primary health care post. Effectiveness of the intervention was measured immediately after the comprehensive health promotion program. Results: There were significant differences between pre-test and post-test on cognitive function (p=.001), depression (p=.001), systolic blood pressure (p=.001), blood sugar (p=.013), and cholesterol (p=.018). Conclusion: The comprehensive health promotion program based on the primary health care post was found to be effective for rural elders by improving cognitive function and physiological indicators and decreasing their depression.

Relationship between speaking discomfort and mental health and oral health care behavior in Korean elderly people: based on the 8th 2nd (2020) National Health and Nutrition Survey (우리나라 노인의 말하기 불편감과 정신건강 및 구강건강관리 행태의 관련성: 제8기 2차(2020년) 국민건강영양조사를 바탕으로)

  • Ji-Min Hwang;Jeong-Hee Choi
    • Journal of Korean Academy of Dental Administration
    • /
    • v.11 no.1
    • /
    • pp.54-61
    • /
    • 2023
  • This study was conducted to identify factors related to discomfort while speaking in the elderly and provide fundamental data for establishing oral health care policies for a healthy old age. Using the raw data from the 8th wave of the National Health and Nutrition Examination Survey (2020), we conducted an analysis to examine the relationship between speaking discomfort and mental health, as well as oral health care behavior, among 1,278 elderly individuals in Korea. Differences in speaking discomfort were analyzed based on general characteristics, mental health, and oral health care behavior using complex sample cross-analysis. Additionally, factors associated with speaking discomfort were analyzed using complex sample multiple logistic regression analysis. As a result, individuals with depression experienced higher levels of speaking discomfort (p<0.05), and individuals experiencing high levels of stress also reported higher levels of speaking discomfort (p<0.05). As a factor affecting speaking discomfort, it was found that speaking discomfort was 2.56 times higher (p<0.001) when dental care was not met, and speaking discomfort was 3.05 times higher (p<0.05) when teeth brushing was less frequent. As a result of the aforementioned findings, it is believed that a customized oral health promotion program is necessary to expand dental health insurance coverage for the elderly and improve oral healthcare.

The Effects of perceived health status, sleep, depression and pain on quality of life by Gender in Community-dwelling Older Adults (저소득층 재가노인의 지각된 건강상태, 수면, 우울, 통증이 삶의 질에 미치는 영향)

  • Chang, Koung-Oh;Park, Su-Jin;Bae, Du-Yi
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.15 no.3
    • /
    • pp.1566-1575
    • /
    • 2014
  • In this study, we have investigated the effect of perceived health status, sleep, depression and pain on quality of life by Gender in Community-dwelling Older Adults. A cross-sectional descriptive study was conducted with a survey of elderly aged 65 years or older that registered in the health care center located in J city from december 20, 2012 to february 15. Data were analyzed with descriptive statistics, t-test, ANOVA. Pearson correlation coefficients and multiple regression analysis using the SPSS Win 18.0 program. The result of perceived health status on average $9.89{\pm}2.21$ points, sleep $39.72{\pm}8.79$ points, depression, $7.13{\pm}7.54$ points, pain $5.37{\pm}1.90$ points and quality of life, the average was $7.61{\pm}2.25$ points. Perceived health status of low-income that perceived health status, sleep, and pain. explained 44.6% of variance in their quality of life. Based on the findings of the study, low-income elderly in home in order to improve the quality of life of the systematic development of intervention programs for health care and nursing needs to be applied.