Journal List > J Korean Acad Community Health Nurs > v.21(1) > 1058165

Lee and Yang: The Effects of Chronic Musculoskeletal Pain and Depression on Health-related Quality of Life by Gender in Community-dwelling Older Adults

Abstract

Purpose

The aim of this study was to investigate the effects of chronic musculoskeletal pain and depression on health-related quality of life (HRQoL) according to gender in community-dwelling older adults.

Methods

The subjects of this study were 209 elderly individuals who were receiving visiting nursing services from a public health center located in Gangwon-do. Data were collected using a structured questionnaire from March to April, 2008. SPSS/WIN 13.0 was used for data analysis.

Results

Depression and HRQoL showed a significant difference between male and female subjects. There was a negative correlation between chronic musculoskeletal pain, depression, and HRQoL. In the male elderly, depression was the most significant predictor of HRQoL, while in the female elderly, chronic musculoskeletal pain was the most significant predictor of HRQoL.

Conclusion

The study showed that chronic musculoskeletal pain was the variable with the highest explanatory power for HRQoL in the female elderly. Therefore, chronic musculoskeletal pain needs to be assessed and managed first in nursing interventions to improve HRQoL of the female elderly.

Figures and Tables

Table 1
General Characteristics of Subjects (N=209)
jkachn-21-21-i001
Table 2
Comparison of Pain, Depression and Health-related Quality of Life between the Male and the Female (N=209)
jkachn-21-21-i002
Table 3
Pain, Depression and Health-related Quality of Life by General Characteristics between the Male and the Female (N=209)
jkachn-21-21-i003

Scheffe's test.

Table 4
Correlations among Pain, Depression and Health-related Quality of Life (N=209)
jkachn-21-21-i004
Table 5
Influencing Factors on Health-related Quality of Life (N=209)
jkachn-21-21-i005

Cum. R2=cumulative R2.

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD) (KRF-2007-357-E00027)

References

1. Artinian NT, Washington OG, Flack JM, Hockman EM, Jen KL. Depression, stress and blood pressure in urban African-American women. Prog Cardiovasc Nurs. 2006; 21:68–75.
crossref
2. Battle J. Relationship between self-esteem and depression. Psychol Rep. 1978; 42:745–746.
crossref
3. Chang HK. A study on chronic pain, pain beliefs, pain coping, and fatigue in the elderly. J Korean Acad Adult Nurs. 2006; 18(3):377–385.
4. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, New Jersey: Lawrence Erlbaum Associates;1988.
5. Delateur BJ. The 29th Walter J. Zeiter Lecture. Quality of life: A patient-centered outcome. Arch Phys Med Rehabil. 1997; 78:237–239.
6. Ferrans CE, Powes MJ. Psychometric assessment of the quality of life index. Res Nurs Health. 1992; 14:29–38.
crossref
7. Hwang MG, Kim EJ. The relationship between depression, cognitive function, and health-related quality of life of the elderly: Focusing on the mediating effect ofsuicide ideation. J Welf Aged. 2008; 41:385–404.
8. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl. 1986; 3:S1–S226.
9. Jeong KH, Oh YH, Seok JE, Doh SR, Kim CW, Lee YK, et al. 2004 living profiles and welfare services needs of older persons in Korea. Seoul: Korea Institute for Health and Social Affairs Publishing;2005.
10. Kee BS. A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea Version. J Korean Neuropsychiatr Assoc. 1996; 35:298–307.
11. Kim JH, Kim JH. A study for relationship between depression and chronic musculoskeletal pain in elderly by geriatric depression scale. J Korean Gerontol Soc. 1998; 18(3):90–102.
12. Kim SY, Kim MY. The relationship among pain, depression and ego integrity in day care center elderly pelples with chronic pain. J Korean Gerontol Nurs. 2003; 5(1):50–60.
13. Kim YH. Physical health status, depression and activities of daily living of the low-income elderly living alone in metropolitan areas. J Korean Acad Community Health Nurs. 2005; 16(2):137–147.
14. Kim KH, Park HJ, Jin LH, Kang YH, Shin KR. The correlation among quality of life, depression, and urinary incontinence of elderly women in a urban city. J Korean Gerontol Soc. 2007; 27(4):943–962.
15. Kim KB, Sok SH. Factors related to the quality of life of the elderly. J Korean Acad Adult Nurs. 2008; 20(2):331–340.
16. Korean National Statistical Office. Population movement estimation. 2008. Retrieved November, 20, 2008. from http://www.nso.go.kr/nso2006/k01___0000/k01c__0000/k01ca_0000/k01caa0000/k01caa0000.html?method=view&board_id=4&seq=5&num=5&parent_num=0&page=1.
17. Lee EY. The relationships among degenerative arthritis patient's pain, self-care agency & their quality of life. Seoul: Ewha Womans University;2003. Unpublished master's thesis.
18. Lee SA, Lee GM. A study on the major factors influencing the depression among the elderly in rural area. J Korean Gerontol Soc. 2002; 22(1):209–226.
19. Lim LL, Fisher JD. Use of the 12-item short-form (SF-12) Health Survey in an Australian heart and stroke population. Quality of Life Research: An International. Qual Life Res. 1999; 8(1-2):1–8.
20. McCarthy LH, Bigal ME, Katz M, Derby C, Lipton RB. Chronic pain and obesity in elderly people: Results from the einstein aging study. J Am Geriatr Soc. 2008; 57(1):115–119.
crossref
21. Park YH, Suh EY. The risk of malnutrition, depression, and the perceived health status of older adults. J Korean Acad Nurs. 2007; 37(6):941–948.
crossref
22. Ryu EJ, Lee JM, Choi SY. The relationships of pain cognition, performance status, and hope with health-related quality of life in cancer patients. J Korean Acad Adult Nurs. 2007; 19(1):155–165.
23. Seo NS, Chung YH, Kim JS. Factors related to quality of life among rural elderly. J Korean Acad Adult Nurs. 2005; 17(3):379–388.
24. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. In : Brink TL, editor. Clinical gerontology: A guide to assessment and intervention. New York: The Harwoth Press;1986. p. 165–173.
25. Shin KR, Byeon YS, Kang YH, Oak JW. A study on physical symptom, activity of daily living, and health-related quality of life in the community-dwelling older adults. J Korean Acad Nurs. 2008; 38(3):437–444.
26. Shin KR, Kang YH, Jung DY, Choi KA. A study on the depression, somatic symptom, activities of daily living for the elderly women in an urban area. J Korean Acad Nurs. 2007; 37(7):1131–1138.
crossref
27. Ware JE, Kosinski M, Keller SD. A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Med Care. 1996; 34(3):220–233.
28. Won JS, Kim KH. Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. J Korean Acad Nurs. 2008; 38(1):1–10.
crossref
29. Yang JH. A study of pain, depression and self-efficacy according to the classifications of pain among chronic pain patients. J Korean Acad Adult Nurs. 2004; 16(2):202–210.
30. Yoo SH. The characteristics and risk factors of pain among older adults in single district of Korea. Seoul: Seoul National University;2006. Unpublished master's thesis.
TOOLS
Similar articles