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A Study on the Physical Health Status, Depression and Health Behaviors of the Elderly
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Mi Kyung Sim, Jeong Mo Park
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J Korean Acad Community Health Nurs. 2004;15(3):438-449. Published online September 30, 2004
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Abstract
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The purpose of this study was to examine the levels of and relationships between physical health status, depression and health behaviors and the factors affecting health behavior in the elderly. METHOD The subjects of this study were 118 elderly people aged over 60 living in urban and rural areas. The data were collected by interview through questionnaires from December 1, 2003 to January 30, 2004. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. RESULTS The results of the study are as follows. 1. The mean score of the physical health status was 63.88 out of a total of 78 and the mean score of depression 42.71 out of 80. The mean score of health behaviors was 126 out of 165 and 3.83 point out of 5. In terms of sub-domains of health behaviors, emotional areas showed the highest mean score (3.98). 2. There was a significant positive correlation between health behaviors and the physical health status (r=.491, P<.001), while there was a significant negative correlation between depression and physical health status(r=.626, P<.001), and depression and health behavior(r=.784, P<.001). 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health behaviors was psychological health, namely depression. A combination of depression, perceived health status and religion accounted for 65% of the variance in health behaviors of the elderly. CONCLUSION From the results of the study, we recommend that the development of a nursing intervention program for the health behaviors including the factors affecting the elderly. It suggests the need to focus more on psychological and spiritual health and the development of nursing interventions for health promotion among older adults.
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A Comparative Study of Social Support, Depression, and Life Satisfaction in the Urban and Rural Elderly
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Mi Kyung Sim, Jeong Mo Park
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J Korean Acad Community Health Nurs. 2002;13(4):689-698. Published online December 31, 2002
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Abstract
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The study was carried out to identify the correlations among social support depression and life satisfaction and compare them between the rural and urban elderly. METHOD The study participants included 57 rural elderly and 59 urban elderly who were surveyed and interviewed using social support and depression like satisfaction inventories by nursing students from May 2002 to June 2002. RESULT The mean scores of social support and life satisfaction in the urban elderly were higher than those in the rural elderly However signigicant differences in the variables between the two elderly groups were not found. The mean score of depression in the rural elderly was higher than that in the urban elderly but a significant difference between the two groups indepression was not found. Social support was significantly correlates with age religion health status in the urban elderly and with significantly correlated with religion monthly expenditure health status in the both groups Life satisfaction was significantly correlated with age marital status religion monthly expenditure in the urban elderly and with health status in the rural elderly. Social support depression and life satisfaction were correlated each other in the urban elderly. The significant correlations were found between depression and life satisfaction and between social support and life satisfaction in the rural elderly. CONCLUSION the results suggest that further replicated studies are needed with larger samples. Appropriate nursing interventions with the consideration of characteristics of the rural and urban elderly are needed and developed to improve their social support and depression.
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