Influence of Social Support and Illness Perception on Depression among Hospitalized Older Adults Prior to Discharge from an Acute Care Hospital

Jeung Heui Yeom; Yong Soon Shin

doi:10.7475/kjan.2017.29.3.246

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Yeom and Shin: Influence of Social Support and Illness Perception on Depression among Hospitalized Older Adults Prior to Discharge from an Acute Care Hospital

Original Article

Korean Journal of Adult Nursing 2017; 29(3): 246-255.

Published online: 30 June 2017

DOI: https://doi.org/10.7475/kjan.2017.29.3.246

Influence of Social Support and Illness Perception on Depression among Hospitalized Older Adults Prior to Discharge from an Acute Care Hospital

Jeung Heui Yeom, MSN, RN¹, Yong Soon Shin, Ph.D., APN²

¹Legal Affairs Team, Asan Medical Center, Seoul, Korea.

²School of Nursing, Hanyang University, Seoul, Korea.

Corresponding author: Shin, Yong Soon. School of Nursing, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea. Tel: +82-2-2220-0798, Fax: +82-2-2220-1163, ysshin2k@hanyang.ac.kr

Received 27 March 2017 Revised 13 June 2017 Accepted 22 June 2017

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was designed to identify factors affecting depression among hospitalized older adults prior to discharge from an acute care hospital.

Methods

This descriptive study included adults aged 65 or older who were hospitalized in a general hospital in Seoul, Korea. Depression was measured by the Short Form Geriatric Depression Scale and illness perception was evaluated by the Brief Illness Perception Questionnaire. Social support was examined using the Perceived Geriatric Social Support Scale. Data were collected from August 25 to October 12, 2015. Data analysis included descriptive statistics, independent t-test, Kruskal-Wallis test, Pearson's correlation coefficient, and hierarchical multiple regression.

Results

Among a total of 120 participants, 57 patients (47.5%) experienced depression. Mean depression score was 7.37±3.67. Depression was associated with illness perception (r=.53, p<.001), social support (r=-.19, p=.043), number of admission due to the recurrence (r=.31, p=.001), and time to recognize discharge plan (r=.25, p=.044). In hierarchical multiple regression, illness perception (β=.45, p<.001) and time to recognize discharge plan (β=.21, p=.039) were predictors of depression (F=7.68, p<.001, Adjusted R²=.38).

Conclusion

The findings of this study suggest that management of illness perception and timely notice of discharge are important to reduce depression in hospitalized elderly patients.

Keywords: Aged, Depression, Patient discharge, Perception, Social support

Figures and Tables

Table 1

Participants' Sociodemographic Characteristics (N=120)

^†p-value was calculated by the Mann-Whitney U test; ^‡p-value was calculated by the Kruskal-Wallis test.

Table 2

Admission and Discharge–related Characteristics (N=120)

^†p-value was calculated by the Mann-Whitney U test; ^‡p-value was calculated by the Kruskal-Wallis test.

Table 3

Participants' Depression, Social Support, and Illness Perception (N=120)

Table 4

Correlation of Depression, Social Support and Illness Perception (N=120)

Table 5

Predictors of Depression among Hospitalized Older Adults (N=120)

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