• Journal of International Academy of Physical Therapy Research
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• v.1 no.1
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• pp.26-31
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• 2010

The purpose of this study was to investigate perceived health status, activities of daily living and depression of the elderly in nursing facilities and to identify correlations among them. The collected data is to improve healthy life for the aged people in communities. This study was performed by using of questionnaire which was consisted of perceived health status, activity of daily living(ADL) and depression. The survey was conducted by 180 aged people at nursing homes. The results of perceived health status show that 64.9% of elderly feel very bad or bad, 61.6% of elderly have a degree of independent level of activity of daily living(ADL) and 48.6% of elderly have a degree of depression. There were statically revealed meaningful correlation between ability of activity of daily living(ADL) and perceived health status, ability of activity of daily living(ADL) and depression. This study about connection among perceived health status, activity of daily living(ADL) and depression is necessary for number of the affiliation function of elderly at nursing homes and development of intervention programs concerned about depression are necessary.

• Journal of Korean Academy of Nursing
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• v.43 no.2
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• pp.296-303
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• 2013

Purpose: The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation. Methods: A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living. Conclusion: The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.

• Journal of Korean Public Health Nursing
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• v.25 no.2
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• pp.289-301
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• 2011

Purpose: This study was conducted to investigate the level of health behaviors, perceived health status, emotional and cognitive conditions and depression of the elderly residence in homeless shelters, and to identify related factors on their depression. Method: This was a descriptive study using a questionnaire. Geriatric Depression Scale (GDS-15) was used for examining depression, and other questionnaire were adopted and modified from the customized visiting health care service. Result: The 41 subjects displayed mild depression ($5.34{\pm}3.33$). The majority were non-smokers (73.2%) and non-drinkers (85%), and 81.1% of the subjects did light activities with 74.4 % performing regular exercise more than once per week. Perceived health status was above average in 70.7%, and feeling stress (70.7%), suicidal thoughts (12.2%) and abnomal KDSQ-C (29.3%) were shown in emotional and cognitive conditions. Depression had a significant relationship with regular exercise (t=3.61, p=.001), perceived health status (t=3.47, p=.041) and suicidal thoughts (t=2.85, p=.007). Conclusion: It is necessary to increase shelters for the elderly homeless and construct the system for examining not only their physical health but also their psychological problems, and to ensure long- term care recognizing their unique characteristics and needs, and their increasing number.

• Physical Therapy Korea
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• v.17 no.4
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• pp.55-60
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• 2010

Clinical measures that Quantify falling risk factors are needed for the accurate evaluation of patients and to plan an intervention strategy. The purpose of this study was to examine the test-retest and interrater reliability of the dynamic gait index (DGI) for persons with Parkinson's disease (PD). A total of 22 idiopathic PD patients were recruited from rehabilitation hospital, Korea in this study. The DGI was assessed in two sessions that were, three days apart. We also measured Berg balance test (BBT) and geriatric depression scale (GDS) for concurrent validity with DGI. Intrarater and interrater reliability (.96 and .98 respectively) for DGI were high. indicating good agreement. The DGI was showed a good positive correlation with the BBS (r=.852). but not GDS (r=-.462). Intrarater and interrater reliability of DGI were high in people with PD. The DGI could be a reliable measure to evaluate functional postural control during gait activities in the PD population, and the ability of DGI to detect real change is acceptable in research and clinical settings.

• Korean Journal of Biological Psychiatry
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• v.17 no.4
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• pp.210-217
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• 2010

Objectives : We investigated a correlation of cognitive function, depression, suicidal idea and serum lipid levels in Korean elderly over 60 years old to find risk factors of deprssion and cognitive decline. Methods : 834 persons participated in this study. Clinical evaluation was done at a point by using Mini-Mental State Examination in the Korean version of CERAD assessment packet(MMSE-KC). We also evaluated 165 persons that agreed to our exact examination for Geriatric Depression Scale(GDS), Scale for Suicidal Ideation(SSI), Hachinski Ischemic Score and serum lipid profile. Correlation analysis was used to evaluate correlation among serum lipid levels, MMSE-KC and SSI. One-way ANOVA was used for comparison of serum lipid levels and cognitive function, depression and SSI. We did a post-hoc analysis. Results : Depression and suicidal ideation were related with cognitive impairment in Korean elderly over 60 years old. Those who have more severe cognitive impairment and depressive symptom, have higher Hachinski ischemic score. We can see high HDL cholesterol levels only in the normal control group. Low total, HDL, LDL cholesterol were related with depression. Conclusion : There was high prevalence of depression in the Korean elderly over 60 years old and low serum lipid level was related with severity of depression and high suicidal ideation. In the normal control group, we can see high HDL cholesterol levels. To confirm this result, we need well-designed and wide range study.

• Journal of Families and Better Life
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• v.25 no.6
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• pp.95-109
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• 2007

The purpose of this research was to evaluate the effect of ceramic activities on elderly depression and life satisfaction. The research design was based on one group, with a pre and post-test study design. The subjects of this study included twelve elderly from anelderly daytime care center in Yang-san. Instruments used in this research were KGDS (Korea Form of Geriatric Depression Scale) developed by Jung et al., and a form of life satisfaction developed by Youn. A one-hour ceramic activity was offered to participants weekly, for five weeks. The results showed that depression and life satisfaction changed after the ceramic activities. The participants produced results of emotional aspects for demented old people. More specifically and significantly, positive emotions such as pleasure, in-terest, and tranquility were increased, while negative emotions such as anger or depression were significantly decreased through the ceramic activities. Thus, this study's ceramic activities program appeared to have beneficial effects on elderly depression and life satisfaction.

• Research in Community and Public Health Nursing
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• v.26 no.4
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• pp.405-414
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• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• The Journal of Korean Academic Society of Nursing Education
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• v.12 no.1
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• pp.28-35
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• 2006

Purpose: This study was performed to verify the effect of rhythmic activity program on the elderly particularly their level of instrumental activities of daily living(IADL), depression and sleep. Method: The design of this study is one-group pretest-post test design. Three self-reported questionnaires were used as follows: first, the IADL Scale developed by Lawton and Brody(1969) and revised by Suh(1996) for measuring IADL, second, the Geriatric Depression Scale developed by Sheikh and Yesavage(1986) and revised by Song(1991) for measuring depression, third, Korean Sleep Scale developed by Oh, Song, & Kim(1998) for measuring sleep aspects; fourth, the applied version of Facial Pain Scale developed by Wong & Baker(1988) and revised by Song(2004) for measuring sleep quality. Twenty-seven elderlies carried out 50 minutes of rhythmic activity program for 4 weeks. Before and after the experiment, they were tested for IADL, depression and sleep. Collected data were processed using the SPSS/WIN 12.0 program analyzed by the frequency, percentage, mean and paired t-test. Results: The improvement in IADL of the elderly was not enhanced significantly but depression and sleep disorders significantly decreased. Conclusion: Rhythmic activity program is an effective nursing intervention for the elderly.

• Research in Community and Public Health Nursing
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• v.24 no.2
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• pp.205-213
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• 2013

Purpose: The purpose of this study is to investigate the effects of visiting laughter therapy on depression and insomnia in the vulnerable elderly. Methods: A quasi-experimental nonequivalent control group pretest-posttest design was used for this study. The participants were 87 elderly who were registered in the Tailored Visiting Health Program of public health centers. Data were collected from September to November 2010. The experimental group received visiting laughter therapy froma visiting nurse who had taken laughter training provided by laughter therapy experts. The experimental group received 10~15 min of laughter therapy once a week for 8 weeks. The instruments included Geriatric Depression Scale and Insomnia Severity Index to measure depression and sleep problems before and after the laughter therapy. Results: The results showed that visiting laughter therapy was effective in decreasing depression and insomnia among the vulnerable elderly. Conclusion: These findings indicate that laughter therapy may be an effective nursing intervention to improve depression and insomnia Further studies would be needed to identify the difference of effects according to time, interval, or period of visiting laughter therapy and to evaluate the lasting effect of visiting laughter therapy.

• Journal of Korean Academy of Nursing
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• v.36 no.5
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• pp.813-820
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• 2006

Purpose: This study examined the effects of individual reminiscence therapy on older adults' depression, morale, and the quality of life. Methods: The design was a single-group pre-test and post-test study. Subjects consisted of 31 older adults from two senior centers and a welfare center in Seoul. Individual reminiscence therapy was applied to study subjects four times, once a week for an hour at each time. Measurement tools were the Geriatric Depression Scale Short Form Korea (GDSSF-K) for depression, Mun Ae-ri's (1996) scale for morale, and Medical Outcomes Study Short Form 36 (SF-36) for the quality of life. Data was analyzed using descriptive statistics, paired t-test, and pearson correlation. Results: The application of individual reminiscence therapy reduced older adults' depression (t=-5.65, p=.000), and enhanced older adults' morale (t=4.65, p=.000). The application of individual reminiscence therapy improved older adults' quality of life (t=5.00, p=.000). Conclusion: Findings of the study suggest that individual reminiscence therapy may be applied as a nursing intervention that contributesto the improvement of older adults' quality of life, reduces their depression, and enhances their morale.