• Title/Summary/Keyword: Dwelling Depression

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Depression and suicidal ideation in community-dwelling older adults in Korea

  • Kwon, So-Hi;Sohn, Myungji
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.3
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    • pp.655-663
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    • 2014
  • This study aimed to investigate the prevalence of depression and suicidal ideation in community-dwelling older adults in Korea, as well as identify factors associated with their occurrence, including cognitive impairment. A cross-sectional study of 484 residents was conducted at a senior centre utilising the PHQ-9K and K-MMSE. Demographic data were also collected for analysis. Of the respondents, 38.1% had symptoms of mild to severe depression. Further, 16.7% reported having suicidal ideation, with 5% of respondents having thoughts of suicide every day. The majority of participants had 'normal' scores on the K-MMSE (88.0%), though significant differences were observed in PHQ-9K scores between cognitive-acceptable and cognitive-impaired groups. Depressive symptoms and suicidal ideation were very prevalent in community-dwelling older adults in Korea. This study indicates the need for the development of community-based mental health programs tailored to older adults, and demonstrates the viability of promoting early detection of depressive symptoms through senior centres.

Depression and Cognitive Function of the Community-dwelling Elderly (지역사회노인의 우울과 인지기능)

  • Seo, Seong Ok;So, Ae Young
    • Research in Community and Public Health Nursing
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    • v.27 no.1
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    • pp.1-8
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    • 2016
  • Purpose: The purpose of this study was to examine the depression and cognitive function of community-dwelling older adults. Methods: 243 aged over 65 in Won-Ju in South Korea participated in this study. Data were collected from April to June 2013 through interviews. This study utilized the Geriatric Depression Scale Short Form, the Korean version of MMSE-DS (MMSE for Dementia Screening), and infirmity testing for basic health status. Descriptive statistics, ${\chi}^2$, t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, and Pearson's correlation coefficient were used. Results: 75.3% of the participants belonged to the depression group, and the prevalence of cognitive impairment was 17.3%. There were significant differences in depression and cognitive function according to gender, educational level, type of insurance, subjective health, frailty, and whether to be a client of home care service. The level of depression was significantly higher and the level of cognitive functions was significantly lower in older adults in home care services than in community-dwelling older adults. Conclusion: This study is meaningful in that it included older adults in home care services to provide information to develop effective prevention programs for improving cognitive functions. The results of this study can be used to develop future community prevention and intervention.

The Relation between Glucose Control, Self-care and Depression in Community Dwelling Older Adults with Diabetes (지역사회 당뇨노인의 혈당조절, 자기관리 정도와 우울)

  • Kim, Se An;Song, Misoon
    • Perspectives in Nursing Science
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    • v.9 no.2
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    • pp.94-101
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    • 2012
  • Purpose: The purpose of this study was to examine the relationship between glucose control, diabetes self-care and depression in community dwelling older adults with type 2 diabetes mellitus. Methods: The cross-sectional survey data of 148 older adults at a senior center were analyzed in this study. We collected data on diabetes self-care, depression, and demographics by face-to-face interviews. Blood samples for HbA1C were obtained from the participants. Results: The average duration of diabetes for the participants was $10.6{\pm}9.31$ years. Fifty percent of the participants had HbA1c higher than 7.0% (mean 7.179%). The level of diabetes self-care was related to depression (r=-.225, p<.01). HbA1c was positively related with the duration of diabetes diagnosis (r=.224, p<.01). The only sub-dimension of diabetes self-care that was related to depression was exercise (r=-.307, p<.01). Conclusion: Only half of the community dwelling older adults with type 2 diabetes had an optimal level of diabetes control. Supported by the evidence, the longer the duration of diabetes since the initial diagnosis, the poorer the glucose control was. Identification and intervention for depression in people with diabetes should be considered to improve diabetes self-care, especially to perform more exercise.

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Effects of Oral Health Impact Profile (OHIP) on Depression and Quality of Life among Community-dwelling Korean Elderly Persons (노인의 구강건강 영향지수가 우울과 삶의 질에 미치는 영향)

  • Lee, Hung Sa;Kim, Chunmi
    • Research in Community and Public Health Nursing
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    • v.23 no.3
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    • pp.338-346
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    • 2012
  • Purpose: The purpose of this study was to examine the association between oral health impact profile, depression and quality of life among community-dwelling elderly persons in South Korea. Methods: The design of this research was cross-sectional descriptive study. The participants were 266 community-dwelling individuals aged 65 and older. Data were collected from November 20 to December 20, 2011. The measurements for assessing the subjects' oral health, depression, quality of life were OHIP-14, GDS-SF and QOL. Data were collected using self-administered or interviewer-administered questionnaires. Collected data were analyzed using descriptive statistics, Pearson's correlation coefficient and stepwise multiple regression. Results: The participants' mean age was 77.68, and 86.5% were female, 42.9% were living-alone elders. Pearson's correlation coefficient analysis found that oral health impact profile was significantly associated with depression (r=-.622, p<.001), QOL (r=-.400, p<.001), number of disease (r=.298, p<.001), age (r=.198, p=.002), education (r=-.149, p=.015), eating habit (r=.185, p=.003). The QOL was explained 54.7% by depression (${\beta}$=-.619), oral health impact profile (${\beta}$=-.127), number of benefited welfare service (${\beta}$=.235), perceived health (${\beta}$=-.327), eating habit (${\beta}$=-.094) using stepwise multiple regression analysis. Conclusion: These results indicate that the intervention program of oral health promotion for community-dwelling elders is needed from now on.

Influence of Cognitive Function and Depressive Symptoms on Instrumental Activities of Daily Living in Community-dwelling Older Adults (지역사회 노인의 인지기능과 우울감이 도구적 일상생활동작에 미치는 영향)

  • Seo, Kawoun;Song, Youngshin
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.71-81
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    • 2016
  • Purpose: The purpose of this study was to explore the influence of cognitive function and depressive symptoms on instrumental activities of daily living (IADL) in addition to identify the factors associated with IADL in community-dwelling older adults. Methods: This was a descriptive study with cross-sectional design. Data were collected from July 2013 to June 2014. A total of 143 participants without dementia, depression and disability were enrolled in this study. Cognitive function was measured using Seoul verbal learning test (SVLT), digital span (forward/backward) and fist-edge-palm test. The Korean-IADL and Short Geriatric Depression Scale (S-GDS) were used. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression. Results: Overall, a multiple regression model revealed that approximately 27.4% of total variability in IADL in the sample of community-dwelling older adults could be explained by the significant 12 variables in this model ($R^2=0.274$, F=5.467, p<.001). Age, having religion and cognitive function were the predictors of IADL in community-dwelling older adults. Conclusion: This study suggest that we need to monitor cognitive function in older to maintain the ability for IADL in older adults. Also, individualized program for improving older adults' IADL should be included in nursing intervention.

The Effects of Integrated Intervention Program for Community Dwelling Cancer Patients' Quality of Life, Depression and Self Care Agency (통합중재프로그램이 지역사회 재가 암환자들의 삶의 질, 우울, 자가간호역량에 미치는 효과)

  • Kang, Young Sil;Kwon, In Soo;Hong, Eunyoung
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.445-455
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    • 2016
  • Purpose: This study was performed to identify the effects of an integrated nursing intervention program on the quality of life, depression and self care agency of community dwelling cancer patients. Methods: The design of this study was a quasi-experimental, one group pre-post test. A total of 25 community dwelling cancer patients in J city were included in this study. An integration intervention was 30 times, 10 weeks program. The data were collected between May and November of 2014. The collected data were analyzed using SPSS 18.0 through paired t-test. Results: There were significant differences in the quality of life (p=.007) and self-care agency (p=.042) after 10 week's intervention. Conclusion: The results indicate that an integrated intervention program including educational, cognitive, emotional and physical intervention is effective for community dwelling cancer patients. Further attention should be paid to the intensity and period of an integrated intervention program.

Wheel of Wellness Counseling in Community Dwelling, Korean Elders: A Randomized, Controlled Trial

  • Kwon, So-Hi
    • Journal of Korean Academy of Nursing
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    • v.45 no.3
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    • pp.459-468
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of Wheel of Wellness counseling on wellness lifestyle, depression, and health-related quality of life in community dwelling elderly people. Methods: A parallel, randomized controlled, open label, trial was conducted. Ninety-three elderly people in a senior welfare center were randomly assigned to two groups: 1) A Wheel of Wellness counseling intervention group (n=49) and 2) a no-treatment control group (n=44). Wheel of Wellness counseling consisted of structured, individual counseling based on the Wheel of Wellness model and provided once a week for four weeks. Wellness lifestyle, depression, and health-related quality of life were assessed pre-and post-test in both groups. Results: Data from 89 participants were analyzed. For participants in the experimental group, there was a significant improvement on all of the wellness-lifestyle subtasks except realistic beliefs. Perceived wellness and depression significantly improved after the in the experimental group (n=43) compared to the control group (n=46) from pre- to post-test in the areas of sense of control (p =.033), nutrition (p =.017), exercise (p =.039), self-care (p <.001), stress management (p =.017), work (p =.011), perceived wellness (p =.019), and depression (p =.031). One participant in the intervention group discontinued the intervention due to hospitalization and three in the control group discontinued the sessions. Conclusions: Wheel of Wellness counseling was beneficial in enhancing wellness for the community-dwelling elderly people. Research into long-term effects of the intervention and health outcomes is recommended.

The Effect of Depression and Suicide Prevention Program for Vulnerable Community-Dwelling Elderly Women (재가 취약계층 여성 노인을 대상으로 한 우울·자살예방 프로그램의 효과)

  • Yoo, Jae-Soon;Kim, Hyun-Sook;Yon, Hyon-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.2882-2892
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    • 2014
  • The purpose of this study was to develop a program to prevent depression and suicidality in vulnerable community-dwelling elderly women, then to furthermore demonstrate the effectiveness of the program in a community setting. The researchers designed the depression and suicide prevention program by combining a cognitive behavioral theory model with prospective research data. The effects of the program were measured by time-series design based on survey results from 12 vulnerable community-dwelling elderly women. The depression and suicide prevention program was implemented and feelings of depression, suicidal ideation, and hopelessness were measured 4 weeks before implementation, prior to implementation, immediately following implementation, and 4 weeks after implementation. Although there was no statistically significant difference in feelings of depression, suicidal ideation, and hopelessness immediately after implementation of the program, there was a statistically significant difference in all parameters 4 weeks following the implementation of the program. Therefore, we recommend the implementation of our program in community mental health care centers or welfare facilities.

Factors Influencing Ego-Integrity in Community Dwelling Elders (재가 노인의 자아통합감에 영향을 미치는 요인)

  • Chang, Hae-Kyung;Oh, Won-Oak
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.4
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    • pp.529-537
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    • 2011
  • Purpose: This study was done to identify the relationship of perceived health status, depression, meaning of life, and family function and to ego integrity, and to investigate the main factors influencing ego-integrity in community dwelling elders. Method: The research design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 157 community dwelling elders located in 3 cities, Seoul, Seosan and Gyungju. Data analysis was done using SPSS 15.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences between ego-integrity according to gender, religion, economic level and amount of spending money. Ego-integrity had significant positive correlations with perceived health status, meaning of life, family function and a negative correlations with depression. The major factors that affect ego-integrity in community dwelling elders were self-awareness and acceptance, contentedness with past and present, gender and family function, which explained 62.7% of ego-integrity. Conclusion: Findings from this study provide a comprehensive understanding of ego-integrity and related factors for community dwelling elders.

Risk Factors Influencing Depression among Elderly with Arthritis in Korean (관절염 노인의 우울위험요인)

  • Kim, Hye-Ryoung;Im, Hyun-Hee
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.103-112
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    • 2014
  • The purpose of this study was to identify the prevalence of depression and its affecting factors among a community dwelling elderly with Arthritis in Korea. A total of 4,050 subjects from the 2008 Korean National Older Adults Life Survey were selected. The data analysis was performed using the complex sampling function of SPSS version 20.0. Logistic regression analysis shows that depression was more prevalent as elderly who were uneducated, who had ADL limitation, who did smoke currently or formerly than had never smoked. The finding of prevalence of its risk factors is expected to promote the screening or prevention strategy for community dwelling elderly with Arthritis in Korea.