Abstract
Purpose
The purpose of this study was to investigate factors that influenced depression of the elderly vulnerable people living alone in the public home visiting health service center.
Methods
The participants for this study were 491 Korean elderly men living in G city. Data were collected from February to July, 2011 using structured questionnaires. χ2-test, t-test, Pearson's correlation coefficient and multiple regression with the SPSS/WIN program were used to analyze the data.
Results
The levels of ADL and IADL of the elderly living alone were higher, and the levels of social support and life satisfaction were lower than the normal elderly. Depression was positively related to ADL and IADL and negatively to social support and life satisfaction in the elderly living alone. In addition, age, fall experience, ADL, IADL and life satisfaction had influence on the depression.
Figures and Tables
Table 4
Note. Dummy variables=gender (0: male, 1: female); age (0: 65~74 year, 1: 75~84 year, 2: ≥85 year); religion (0: not have, 1: have); education (0: none, 1: elementary school, 2: middle school); fall experience (0: have, 1: not have); volunteer service (0: have, 1: not have); visiting health service (0: <12 month, 1: 12~<24 month, 2: ≥24 month); ADL=activities of daily living; IADL=instrumental activities of daily living.
*p<.05, **p<.01, ***p<.001.
References
1. Brandt PA, Weinert C. The PRQ: A social support measure. Nurs Res. 1981; 30:277–280.
2. Bowling A, Banister D, Sutton S, Evans O, Windsor J. A multidimensional model of the quality of life in older age. Aging Ment Health. 2002; 6:355–371.
3. Butler J, Ciarrochi J. Psychological acceptance and quality of life in the elderly. Qual Life Res. 2007; 16:607–615.
4. Cha SH, Han KH, Lee JH. Relationship between self-rated health and physical, mental social health: Differences among three aged group. J Korea Gerontol Soc. 2002; 22:173–190.
5. Choi IH. A study on self-efficacy, family support and health promoting behavior of the aged in a community. J Korean Community Nurs. 2003; 14:657–666.
6. Choi YH. A study on depression, sleep and fatigue in younger and older elders. J Korean Acad Community Health Nurs. 2007; 18:223–231.
7. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New Jersey: Lawrence Erlbaum Associates;1988.
8. Fiori KL, Antonucci TC, Cortina KS. Social network typologies and mental health among older adults. J Gerontol B Psychol Sci Soc Sci. 2006; 61:P25–P32.
9. Hakim RM, Roginski A, Walker J. Comparison of fall education methods for primary prevention with community-dwelling older adults in a senior center setting. J Geriatr Phys Ther. 2007; 30:60–68.
10. Jeon KS, Lee HK, Hong BK, Jang SR. Community health promotion program for vulnerable women. J Korean Soc Health Educ Promot. 2007; 24:99–118.
11. Kim ML. The study of comparing the factors of affecting on the satisfaction of life for young-old women and old-old women. Korean J Soc Welf. 2006; 58:197–222.
12. Kim YH. Social structure and action in social theory-toward micro-foundation of macro-social phenomena. Seoul: Nanam Publishing House;2003.
13. Kwon YC, Park JH. Standardization of Korean version of the mini-mental state examination for use in the elderly part. II. diagnostic validity. J Korean Neuropsychiatr Assoc. 1989; 28:508–513.
14. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist. 1969; 9:179–186.
15. Lee HS, Kim HS, Jung YM. Depression and quality of life in Korean elders. J Korean Acad Community Health Nurs. 2009; 20(1):12–22.
16. Lee MS. Sense of mastery and depression in community dowelling elders. Iksan: Wonkwang University;2000. Unpublished master's thesis.
17. Litwin H, Landau R. Social network type and social support among the old-old. J Aging Stud. 2000; 14:213–228.
18. Ministry for Health and Welfare Affairs. Statistical yearbook of health and welfare 2008. Seoul: Author;2009.
19. Park HS, Lee KJ. A study on the health behaviors, physical function, and life satisfaction for elderly women. Korean J Women Health Nurs. 2007; 13:115–122.
20. Park KM, Ha EK. Ability of self care and health promotion lifestyle for vulnerable elderly in urban community. Korean Public Health Res. 2004; 30(1):96–103.
21. Park JS, Lee HR. A comparative study on a health promoting lifestyle and perceived health status between high and low income elderly. J Korean Community Nurs. 2003; 14:157–166.
22. Puts MT, Shekary N, Widdershoven G, Heldens J, Lips P, Deeg DJ. What does quality of life mean to older frail and non-frail community-dwelling adults in the Netherlands? Qual Life Res. 2007; 16:263–277.
23. Scheffer AC, Schuurmans MJ, Dijk N, Hooft T. Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing. 2008; 37:19–24.
24. Sheikh JA, Yesavage JA. Geriatric depression scale (GDS): Recent evidence and development of a shorter version clinical gerontology; A guide to assessment and intervention. New York, NY: Haworth;1986.
25. Smith J, Borchelt M, Maier H, Jopp D. Health and well-being in the young old and oldest old. J Soc Issues. 2002; 58:715–732.
26. Stones MJ, Kozma A. Issues relating to the usage and conceptualization of mental health constructs employed by gerontologists. Int J Aging Hum Dev. 1980; 11:269–281.
27. Sugisawa H, Shibata H, Hougham GW, Sugihara Y, Liang J. The impact of social ties on depressive symptoms in U.S. and Japanese elderly. J Soc Issues. 2002; 58:785–804.
28. Won CW, Yang KY, Rho YG, Kim SY, Lee EJ, Yoon JL, et al. The Development of Korean Activities of Daily Living(K-ADL) and Korean Instrumental Activities of Daily Living(K-IADL) Scale. J Korean Geriatr Soc. 2002; 6:107–120.
29. Won JS, Kim KH. Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. J Korean Acad Nurs. 2008; 38:1–10.
30. Won JS, Kim JH. Influencing factors on cognitive function and depression in elderly. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12:148–154.