• Title/Summary/Keyword: Depression in the elderly

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The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support

  • Lim, Seung Joo;Ko, Young;Kim, Chunmi;Lee, Hung Sa
    • Research in Community and Public Health Nursing
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    • v.28 no.4
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    • pp.440-449
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    • 2017
  • Purpose: This study was conducted to identify the moderate effect of social support on the relationship between death anxiety and depressive symptoms among poor older women in rural areas. Methods: This was a secondary analysis of the data from 209 women who were participated in the intervention study to evaluate the effectiveness of depression prevention program. Data were collected between April and September 2012. The data were analyzed using moderate multiple regressions. Results: Among these poor older women, depressive symptoms were associated with death anxiety and social support. Self-esteem support had a moderating effect on the relationship between death anxiety and depressive symptoms. Conclusion: The results indicate that the self-esteem support was effective in decreasing depressive symptoms and death anxiety in poor older women. In order to reduce their depression and make positive changes in their lives, self-esteem improvement programs are needed.

A Model Construction for Quality of Life in Single Aged Women (여성 독거노인의 삶의 질 모형 구축)

  • Baek, Sun-Sook;Ryoo, Eon-Na;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.187-199
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    • 2008
  • Purpose: This study is to develop a hypothetical structural model of the quality of life of single aged women and to explain the compatibilities between the models and actual data. Methods: Ten theoretical variables were used to evaluate of the quality of life of single aged women. 300 of single aged women were selected as the subjects. A hypothetical prediction model of quality of life was tested by the covariance structure analysis with PC-LISREL 8.12. Results: Economy, religion activity, leisure activity, social support, self-esteem, depression and health prompting behavior were the significant variables which affected to the quality of life directly in the single aged women. But social support, self-esteem affected to them indirectly. Knowing perceived health status directly but it affected indirectly to the quality of life in single aged women. Conclusion: In this study, it was discovered that self-esteem was the most important factor to affect to the quality of life in single aged women and the next was the depression and health promoting behavior. As a result, it was discovered that age, economic status, self-esteem and depression were the significant factors to affect to the quality of life in single aged women.

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Effects of Exercise Program for Women of Old-Old Age in Senior Citizen Halls based on Pender's Health Promotion Model (경로당 고령 여성의 운동 프로그램 개발 및 효과 검증: Pender의 건강증진모형 적용)

  • Lee, Kyoung Im;Eun, Young
    • Journal of muscle and joint health
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    • v.23 no.2
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    • pp.71-83
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    • 2016
  • Purpose: The purpose of this study was to assess the effects of an exercise program developed for women of old-old age in senior citizen halls on the basis of Pender's health promotion model. Methods: A non-equivalent control group pretest-posttest design was used in this study. The experimental group participated in the exercise program for 60 minutes per day, three times a week for 12 weeks. Data were analyzed by SPSS/WIN 18.0. Results: After the program, there were significant differences in perceived barriers to exercise, exercise self-efficacy, exercise social support, exercise behavior, physical fitness, perceived health status, and depression between two groups. However, no significant difference was observed in the perceived benefits to exercise between two groups. Conclusion: The exercise program of this study was useful to enhance exercise self-efficacy, exercise social support, exercise behavior, physical fitness, and perceived health status and to reduce the perceived barriers to exercise and depression of women of old-old age. Therefore, we recommend this exercise program for the elderly care.

The Development of Wholeness Program for Effects Dementia-Buffering Testing of the Demented Elderly (노인의 치매행동 관련 홀니스 프로그램 개발과 완충효과 검증)

  • Hong, Hye-Jeon
    • 한국체육학회지인문사회과학편
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    • v.57 no.1
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    • pp.405-419
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    • 2018
  • This study of the Wholeness Program relevant to dementia behavior and verification of buffering effects. For the purpose of this, among those who were attending Day Care Centers belonging to Seniors Welfare Center of M1 and M2 located in Seoul. Among those who met all these requirements, 40 senior citizens were finally selected. After carrying out a preliminary test to the selected subjects, 20 elderly of Seniors Welfare Center of M1 were randomly placed as an experimental group, while other 20 people of Seniors Welfare Center of M2, as a control group. The Wholeness Program relevant to dementia behavior was carried out from March 14 to May 30 of 2016, for 12 weeks, twice a week. As for the measurement tool, this study depended on the Korean version of Mini Mental State Examination (MMSE-K), the Korean version of Modified Barthel Index (K-MBI) and the Korean version of Geriatric Depression Scale (GDS-K). While the elderly were participating in the Wholeness Program relevant to dementia behavior, they were measured two times in total, before and after the participation in dementia behavior. Based on SPSS-PC (version 21.0), firstly, independent t-test was carried out to understand the homogeneity between the experimental group and the control group. Secondly, matched-pair t-test was carried out between preliminary test and post-test to inquire into the effects of MMSE-K, K-MBI and GDS-K. Thirdly, ANOVA was conducted to confirm the variation (change amount) between preliminary test and post-test. According to the survey results, the Wholeness Program relevant to dementia behavior of the elderly shows overall effects in all spheres of changes of cognitive ability (MMSE-K), changes of physical capacity (K-MBI) and changes of depression level (GDS-K).

Effect of perceived stress on general health and oral health status in elderly: results from the Korea national health and nutrition examination survey 2014 (노인의 스트레스 인지가 전반적인 건강상태 및 구강건강상태에 미치는 영향)

  • Choi, Eun-Sil;Cho, Han-A
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.899-910
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    • 2017
  • Objectives: This study was conducted to identify the rates of perceived stress of elderly people over 65 years old and to confirm the influence of stress on general health and oral health status. Methods: Using data from the National Health and Nutrition Survey for 2014, 1,472 people over 65 years of age were selected as final subjects. Stress was used as an independent variable and dependent variables were included physical health (perceived health status), mental health (depression), and oral health (perceived oral health status). The following confounding variables were adjusted for the current study: demographic characteristics (gender, age, education level, house income) and health - related characteristics (drinking, smoking, exercise, frequency of tooth brushing, using oral care product, dental exam, comorbidity, restrict activity). Complex sampling analysis was applied and logistic regression was performed to determine the effects of stress on physical health, mental health and oral health status. Odds ratio (OR) and 95% confidence interval (95% Confidence Interval, 95% CI) were calculated. Results: Logistic regression indicated that stress was significantly associated with low physical health (OR=2.18, 95%CI: 1.49-3.20), low mental health (OR=8.68, 95%CI: 4.98-15.11), low oral health (OR=1.53, 95%CI: 1.06-2.21) after adjusting for confounding variables. Conclusions: The perceived stress of the elderly was found to be related to the general health and oral health status. Therefore, it is necessary to evaluate stress as a predictor of health risk for the health promotion of the elderly on multidisciplinary assessment and continuous evaluation. In addition, health support policies should be provided to achieve good health status for elderly.

A Study on the Factors Affecting the Entry of Depression by Life Cycle - Focusing on the Comparison of the Three Generations of Adulthood, Middle Age and Old Age - (생애주기별 우울진입에 영향을 미치는 요인에 관한 연구 - 성년, 중년, 노년층의 3세대 비교를 중심으로 -)

  • Jeong, Jun Su;Lee, Hye Kyung
    • Korean Journal of Social Welfare
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    • v.69 no.2
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    • pp.117-141
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    • 2017
  • The purpose of this study is to investigate the differences of the factors affecting the entry of depression by generations and to present a practical strategy for preventing of depression by life-cycle. For this purpose, we analyzed the factors influencing the depression of adults, middle-aged and elderly people through the discrete-time hazard model. The results of this study are as follows: First, the lower the self-esteem, the lower the income satisfaction and the family satisfaction people have, the higher the likelihood of entering the depression they have. In addition, age, educational level, health status, presence of chronic diseases, employment status, regional area, and leisure life satisfaction were variables that showed difference by generation. In the case of adulthood(aged 20 ~ 39), unemployed persons are more likely to enter the depression than younger workers. On the other hand, the middle-aged(40 ~ 64 year olds) are more likely to enter the depression if they are older, have poor health status, have no chronic disease, and have low leisure satisfaction. Finally, older people(aged 65 and over) are more likely to enter the depression when the education level is higher, the health condition is worse, and the leisure satisfaction is lower. If they lived in an urban and rural complex, they are more likely to enter the depression. Based on these results, it is necessary to establish a support plan reflecting the characteristics revealed by generations in order to prevent the entry of depression.

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Appetite and Related Factors among Community Elders in Korea (국내 일부 재가 노인의 식욕부진 실태와 관련 인자 분석)

  • Park, Soojin
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.43 no.9
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    • pp.1431-1438
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    • 2014
  • This study assessed the risk and prevalence of anorexia as well as associated factors among home-dwelling elderly adults. The subjects were 419 elderly men (116) and women (303) aged 65 years and older ($76{\pm}5.6yr$) living in Korea. Data were collected by personal interviews using questionnaires. The collected data were analyzed by descriptive statistics and Pearson's correlation. The prevalence of anorexia was 35.1% among participants. Male elders (74.1%) had higher proportions of anorexia than female elders (20.1%) (P<0.001). Significant differences in the appetite were observed according to type of disease, depression, and activities of daily living (ADL) index. In the poor appetite group, central nervous system diseases were the primary illness in male elders (P<0.01), whereas endocrine diseases were the primary illness in female elders (P<0.01). Elders with good appetites had less symptoms of depression (P<0.001) and greater independence in ADL (P<0.001). These results explored the high prevalence of anorexia in geriatric populations in Korea and its impact on elderly nutritional status and health. Further research should be performed to identify the causes of anorexia and establish an intervention protocol allowing the early diagnosis of anorexia.

A Study on physical health, economical state and social relations of women elderly living alone in an island (도서지역 여성독거노인의 신체적 건강, 경제상태, 사회적 관계의 실태에 관한 연구)

  • Jang, Hee-Sun;Kim, Yun-Jeong
    • Journal of Agricultural Extension & Community Development
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    • v.17 no.2
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    • pp.233-259
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    • 2010
  • The purpose of this study is to find out about how are physical health, economical states and social relationships of women elderly living alone in an island. The measurement variables are subjective health status, satisfaction of life and a feeling of depression through Activities of Daily Life, social supports, social network and social relationship. First, the ADLs of the aged women living alone in the island are that can't do themselves 23.4%, and need to other's help on their walking 23.4%, bathing 6.5%, and going out 10.3%. Second, them answered that is very shortage or shortage with living expenses 46.8%. Average income in a month is under 200thousands won are account for 32% in a rural and 32.4% in an urban but the aged women living alone in an island are account for 35.1%. comparing with that they are living under the absolute poor with a small income less than 300thousands won. Third, social relationships of the aged women living alone in the island are living with an offspring in a same region 50.6%, a neighboring village 11.7%, and living with a relation in same region. At this study differs from other studies are about studying to be compared aged people between rural and urban area. This study is researched comprehensively about more fragility people.

Effects of Swallowing Training Program for Nursing Home Residents with Stroke (요양시설 거주 뇌졸중 노인을 위한 연하 훈련 프로그램의 효과)

  • Kim, Haesook;Lim, Kyung-Choon
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.230-241
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    • 2023
  • Purpose: This study aimed to verify the effects of a swallowing training program on swallowing function and depression for nursing home residents with dysphagia after stroke. Methods: This is a quasi-experimental study with non-equivalent control group pre-post test design. The program (oro-facial muscle strengthening exercises, swallowing exercises, expiratory muscle strengthening exercises, and brain stimulation exercises) applied to the experimental group three times per week for eight weeks, 40-45 minutes for each intervention. The final data from 42 people (21 experimental and 21 control) were analyzed by SPSS/WIN 25.0 using descriptive statistics. 𝜒2 test, t-test, Wilcoxon rank sum test, and Friedman test. Results: The experimental group was significantly improved than control group in oro-facial muscle strength, swallowing symptoms (Z=-2.22, p=.026), and oral intake function level (Z=-2.00, p=.046). However, there was no significant difference between two groups in depression. Conclusion: This study is meaningful in that it reorganized and mediated a swallowing training program as a safe, non-invasive exercise that nurses can implement in a nursing facility with limited medical personnel and it could be easily followed by older adults.

A study of their Death Anxiety, Self Appearance and Life Quility by the Religious Activities of the Aged (노인의 종교활동 참여가 자기존중감 및 죽음불안과 삶의 질에 미치는 영향)

  • Moon, Tae-Eon;Byun, Sang-Hae
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.7 no.3
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    • pp.115-120
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    • 2012
  • The purpose of this study is to examine the impacts of religious activities on the death anxiety and self appearance, life quilty of senior citizens in a bid to give some suggestions on how the elderly could lead a successful life. The subjects in this study carried out face-to-face interview targeting and convenience sampling 300 elderly people who were aged 65 and over and resided in the city of Gwangju. SPSS 17.0 and AMOS 7.0 programs were used to analyze the collected data. The findings of the study were as follows: First, whether there were any gaps in death anxiety and self appearance, life quality according to the type of religious life was examined, and that made significant differences to life satisfaction(F=9.498, p<.001) and self- esteem(F=9.370, p<.001). But that produced no statistically significant results in association with depression. Second, a confirmatory factor analysis was made to find out the relationship of religion to depression and psychological well-being, and most of their indexes were positive, which proved that the variables had something to do with each other. Last, a path model was analyzed to verify the relationship of the participation of the elderly people in religious activities to their depression and psychological well-being, and the GFI, AGFI, and CFI of the variables were above .80, which lent credibility to the validity of the study.

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