Research in Community and Public Health Nursing

Original Articles

[English] Path Analysis of Factors Influencing Health-Related Quality of Life for Community-Dwelling Vulnerable Older Adults with Chronic Diseases in Korea: Hyun-Ju Lee; Res Community Public Health Nurs. 2025;36(3):315-327. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01067

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Abstract PDF: Purpose
This study aims to construct and verify a path model for the factors affecting health-related quality of life (HRQoL) in community-dwelling vulnerable older adults with chronic diseases in Korea. Methods: The sample included 195 community-dwelling vulnerable adults aged 65 years and above with chronic diseases in Korea. Structured questionnaires were collected from April to June 2022. Data were analyzed using SPSS 28.0 and AMOS 28.0 programs. Results: The hypothesized path model significantly explained HRQoL in community-dwelling vulnerable older adults with chronic diseases, with a high explanatory power (48.0%). Self-rated health (SRH) and self-efficacy for managing chronic disease (SEMCD) had a significant direct effect on HRQoL. The number of diseases, depressive symptoms, social support, and digital literacy indirectly affected HRQoL. Conclusion: To improve HRQoL in community-dwelling vulnerable older adults with chronic diseases, integrated community health-management programs should focus on enhancing SEMCD and SRH, while incorporating depression screening, social support, and digital literacy education.

[English] An Exploratory Study of Factors associated with the Health Behavior of Working Elderly with Chronic Diseases: Dong Ok Kim, Soon Nyung Yun; J Korean Acad Community Health Nurs. 2012;23(4):395-404. Published online December 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.4.395

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PURPOSE
This study aimed to identify the health behaviors of working elderly Koreans aged 65 over and examined the socio-demographic and disease-related factors by health behaviors.
METHODS
This study used data obtained from the 2nd basic survey of the 2008 Korean Longitudinal Study of Ageing. We selected 381 working elderly having one or more of the diseases hypertension, diabetes, heart disease or cerebrovascular disease.
RESULTS
78.9% out of the subjects have hypertension, 31.2% have diabetes, 12.3% have heart disease, and 6.3% have cerebrovascular disease. Compared to the health behaviors of the general elderly, the rate of the practice of regular exercise among the subjects was lower, but the smoking and drinking rate were higher. The significant variables associated with health behavior practice rates were gender, type of work, subjective health status and chronic diseases.
CONCLUSION
The type of work of the elderly with chronic diseases was significantly associated with health behaviors. Consequently, this study found that continuous care programs for the working elderly with chronic diseases should be developed and provided as an occupational health service when the jobs are offered to them.

Citations

Citations to this article as recorded by

The Relationship between Health Belief and Exercise Compliance among Elderly Adults at Senior Centers
Kyung Im Lee, Young Eun
Journal of Korean Academy of Community Health Nursing.2015; 26(2): 79. CrossRef
The Effect of Health Behavior, Resilience, and Recognition of Well-dying on the Depression of Elderly with Chronic Disease
Jeong-Hyeon Kong, Hyeon-Hwa Hong, Eun-Young Jung
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(10): 7146. CrossRef

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