• 가정∙방문간호학회지
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• 제21권1호
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• pp.52-59
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• 2014

Purpose: The purpose of this study was to identify the prevalence and the predictors of depression in elderly patients admitted to hospital. Methods: A sample of 157 subjects aged 65 and over was selected from a university hospital in Korea. Data were collected through self-reported questionnaires during the period from April to August 2012. The data were analyzed using t-tests, ANOVAs, Pearson's correlation coefficients, and multiple regressions with the SPSS/Win program. Results: The prevalence of depression was 54.8%; the mean score for depression was 17.30. Depression in elderly patients had a significant correlation with age, educational level, marital status, and perceived economy level from the demographic characteristics, self-efficacy, and family support. A hierarchical multiple regression analysis revealed that a combination of self-efficacy and family support accounted for 27% of the depression in elderly patients. Conclusion: The findings of this study suggest that programs designed to effectively prevent and manage depression among elderly patients should consider variables such as self-efficacy and family support.

• 한국치위생학회지
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• 제19권5호
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• pp.689-698
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• 2019

Objectives: The study aimed to investigate the relationship between depression and number of present teeth in Korean elderly individuals. Methods: Data for this cross-sectional survey was obtained from the records of the sixth Korea National Health and Nutrition Examination Survey (KNHANES). The subjects were 1,199 Korean elderly individuals above 65 years of age. The survey and examination data were used for the independent variables. The KNHANES included health status, nutrition survey, and oral examination. $x^2-test$ was performed to identify the characteristics of depression and number of teeth present according to the characteristics of the study subjects. Logistic regression analysis was also performed to identify the relationship between depression and number of teeth present. The statistical significance level wa sset at 0.05. Results: The prevalence of depression in the subjects was 14.8%. There were statistically significant differences in the prevalence of depression, depending on gender (p<0.001), education level (p=0.001), income (p=0.001), spouse status (p<0.001), and alcohol consumption (p=0.020). The association between depression and the number of teeth present showed statistically significant difference after adjustment (p=0.040). Conclusions: Depression in elderly individuals was closely related to the number of teeth present. Therefore, public health policies for improving oral health should be established to prevent depression.

• 실천공학교육논문지
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• 제15권3호
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• pp.761-770
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• 2023

COVID-19가 유행을 선언한 시기인 2020년부터 3개년의 지역사회건강조사 자료를 활용하여 노인 우울에 영향을 미치는 요인을 파악하고자 실시하였다. 노인 220,921명 대상으로 일반적 특성, 건강행태 및 주관적 건강수준, 의료 이용에 따른 우울의 차이는 복합표본 t-test, ANOVA를 이용하여 분석하였고, 우울에 영향을 미치는 요인을 확인하기 위해 다중회귀분석을 실시하였다. 연구결과 우울수준은 남성노인 1.21±0.01, 여성노인 1.74±0.02로 여성노인이 더 높게 나타났고, 차이를 보인 변수는 세대유형에서 남성노인은 1세대, 여성노인은 3세대일 때 우울이 더 높게 나타났다. 우울에 영향력이 큰 변수는 우울 경험과 스트레스인지로 나타났다.

• 지역사회간호학회지
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• 제14권1호
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• pp.16-23
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• 2003

Purpose: The purpose of this study was to investigate the effects of music therapy on depression, balance, and flexibility in the elderly. An experimental group consisting of 23 people, was given music therapy for 90 minutes per a week for 6 weeks, while a control group consisting of 21 people, was not given music therapy with quasi-experimental design. Result: The result of the study show that music therapy is effective for decreasing depression and improving flexibility in the elderly. However, this study found no significant differences in balance between the experimental and the control groups. Conclusion: Despite one part, nursing intervention of music therapy to adapt Rhythm for Life elevated the strength of the elderly's body and showed decrease in depression. Therefore the Music therapy Program improves the quality of life in the elderly.

• 한국보건간호학회지
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• 제23권1호
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• pp.78-90
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• 2009

Purpose: This study investigated depression, ADL, ADL, QOL, and their relationships to examine the physical and, emotional health status of low income elderly in the local community. Methods: The subjects included 507 elderly 65 years of age in Jeonju, Korea. Data were collected through personal interviews with questionnaires. Results: The average depression score of the subjects was 8.7. There was significant difference in the level of depression as a function of the level of education and perceived health status. The items showing the highest level of functioning in ADL were consciousness and recognition, and the item combining the highest leveling of functioning in IADL was using phones. Regarding ADL and IADL, there were statistically significant differences in age. living condition and perceived health status. The levels of quality of life of the subjects were significantly different with respect to gender and, perceived health status. There were statistically significant correlations between the subjects' depression, ADL, IADL, and QOL. Conclusions: The findings indicate that the low income elderly in the local community were in poor physical and, psychological health. Based upon the outcome, health promotion programs to improve depression, ADL, and IADL of low income elderly in the community are needed.

• 지역사회간호학회지
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• 제23권4호
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• pp.376-385
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• 2012

Purpose: The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population. Methods: The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale. Results: Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system ($x^2$=13.89, p<.001) were significant, while the differences in the perception of depression ($x^2$=.02, p=.891) and coping methods ($x^2$=.34, p=.558) were not statistically significant. Conclusion: Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.

• 한국보건간호학회지
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• 제26권1호
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• pp.158-173
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• 2012

Purpose: This study was conducted in order to investigate factors related to depression of elderly women in a Metropolitan city. Methods: Subjects included 118 elderly women older than 65 years of age. Structured questionnaires were used for data collection, and descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and hierarchical regression analysis were performed for data analysis. Results: A significant difference in depression was observed according to number of chronic diseases(F=4.963, p=.001). Significant factors influencing depression included number of chronic diseases (${\beta}$=.265, p<.01), cognitive function (${\beta}$=.290, p<.01), quality of sleep(${\beta}$=.212, p<.01), and nutritional state (${\beta}$=.161, p<.05). These factors explained 54.2% of the variance. Conclusion: Findings of this study suggest the need for development of nursing strategies to decrease the incidence of depression in elderly women.

• 가족자원경영과 정책
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• 제20권1호
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• pp.89-108
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• 2016

The purpose of this study is to examine the demographic, economic, and psychological factors that influence the quality of life (QoL) of the elderly. The data in the 'Survey on the Elderly in 2011', were collected from The Ministry of Health & Welfare and the Korea Institute for Health and Social Affairs. The samples included 3,312 out of the total of 15,146 elderly people aged from 65 to 70 years. Multiple regression analysis and path analysis were used to analyze the research model. The findings are as follows. First, the most critical factor that affected the QoL of the elderly was "subjective standard of living" with other factors including "subjective physical condition level", "depression", "total annual income", "the number of chronic disease", "self-esteem", "economic supports from their adult children", "education level", "living with their adult children or not", "sex", and "home ownership", in that order. Second, based on the path analysis results, the QoL of the elderly was influenced by "subjective physical condition level", "subjective standard of living", "depression", "self-esteem", "total annual income", "education level", and "the number of chronic disease", in that order. In particular, "depression" had a negative direct effect and an indirect effect on the QoL of the elderly, whereas "self-esteem" had a positive direct effect and indirect effect on their QoL. Third, "labor force participation status" did not affect the QoL of the elderly. However, it implied the mediating effect of "self-esteem" and "depression" on their QoL. These results show that demographic, economic, and psychological factors heavily influence the QoL of the elderly. Specifically, "depression" and "self-esteem" turn out to be mediating variables that strongly influence the QoL of the elderly. Also, "labor force participation status" does not have a positive direct effect on the QoL of the elderly but has a positive mediating effect of "depression" and "self-esteem" on their QoL.

• 가정∙방문간호학회지
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• 제19권2호
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• pp.150-161
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• 2012

Purpose: This study was performed to investigate the influencing factors of cognitive function and depression in elderly. Method: From 3 provinces, 282 elders who resided in community and facilities completed structured questionnaires, including cognitive functions, depression, self-esteem, ADL, and IADL. Data were analyzed by applying ${\chi}^2$-test, ANOVA, partial correlation coefficient, and stepwise multiple regression analysis with SAS 8.12. Results: Community dwelling aged people showed higher scores in MMSE-K, self-esteem, ADL and IADL, and showed lower scores in depression than facility elders. MMSE-K was positively correlated in self-esteem, ADL, and personal cognition of health, except depression. Major factors that affect cognitive function of elderly were residual type, age, and IADL. In addition, major factors that affect depression of elderly were self-esteem, personal cognition of health, and marital status. Conclusions: Based on the results above, it is necessary to identify the status of cognition and depression in the elderly, and to develop nursing intervention programs, which improve cognitive function and reduce depression for aged, especially for the facility admitted aged.

• 대한한의학회지
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• 제43권3호
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• pp.181-194
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• 2022

Objectives: The purpose of this study is to investigate the effect of music therapy combined with hand manipulation on depression and cognition in elderly women with mild depression. Methods: In order to investigate the effects of a music therapy program through hand, 20 elderly women with a GDS-K score of 14-18 were selected among women aged 65 to 84 living in Busan. The 10 subjects in the experimental group were given the music therapy program 3 times a week for 4 weeks, 12 sessions, and the 10 subjects in the control group were not given it. GDS-K and K-MoCA were performed before and after the experiment, and data analysis was performed through Wilcoxon's test using the SPSS 24.0 statistical package program. Results: The music therapy program through hand manipulation is effective in reducing depression in elderly women with mild depression, and there was a significant decrease. The sub-domains of depression, such as tension and depressive emotions, life dissatisfaction, lethargy, cognitive difficulties, low energy, and loss of motivation, were significantly reduced. In addition, it has an effect on cognition, and it significantly increased in attention, delayed recall ability, which are sub-domains of cognition. There is a significant difference in depression between the experimental group and the control group, and there is a significant difference in cognition between the two groups. Conclusions: The music therapy program with hand manipulation has a positive effect on depression and cognition in elderly women with mild depression.