Journal List > J Korean Acad Community Health Nurs > v.30(1) > 1119690

Gu: A Conceptual Analysis of Korean Elders’ Yangsaeng in Nursing



This study tries to analyze the concept of Yangsaeng in the Korean aged, with focus on nursing.


Rodgers' evolutionary approach was used to identify the common definitions, attributes, antecedents, and consequences of the Yangsaeng concept for the aged. Literature search was conducted at the NAL, NDSL, RISS, ProQuest, PubMed, AMED, and MEDLINE databases from 2004 to 2016, using the keywords “Yangsaeng,” “health promotion,” “health management,” “traditional oriental methods,” and “traditional oriental nursing.”Finally, 20 relevant articles were selected and thoroughly reviewed.


The analysis shows that the model of Yangsaeng for the Korean aged is that of personal adaptive-capacity, totality, challenging, and coping resource and includes physical, social and psychological health and wellness.


This work provides some implications on the development of nursing intervention related with Yangsaeng for the Korean aged, and suggests the implementation of such intervention in the practice of Yangsaeng for the Korean aged. Therefore, a better understanding of the Korean aged and Yangsaeng within the context of nursing can be achieved.


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Figure 1.
Literature search flow and algorithm.
Table 1.
Rodgers' Evolutionary Approach to Concept Analysis
Process of concept analysis
1) Identify the concept of interest in the term and confirm the theoretical definition.
2) For data collection, check and select an appropriate range of concepts of interest.
3) Relevant data are collected for analysis of parameters and motivation effects of multidisciplinary and socio-cultural changes in order to identify over time variations in the nature of the concept of interest.
4) The finds attributes of the concept of interest, the antecedents, and appropriate examples of the consequences.
5) The definitions of concepts corresponding to the concepts of interest are analyzed and the surrogate terms and related terms are clarified.
6) The hypothesis and implications of the analysis are suggested for the application of the concept development in the future.
Table 2.
Conceptual Diagram of Yangsaeng for the Aged
Antecedents Attributes Mediator Consequence
Healthcare Totality Self-efficacy Implementation Personal adaptive-capacity
  • Physical condition   • Positive problem solving in physical, social and psychological aspects   • Positive changes in health perceptions and behaviors   • Physical well in health of life
  • Social well in health of life
Psychological well-being differences   • Psychological well in health of life
  • Characteristic temperament Challenging
  • Drive positive adaptation
Socialization Coping
  • Different by gender   • Coping in situations
Self-esteem & interaction
  • Family
  • Society
  • Friends
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