The Effects of Health Behavior-related Characteristics, Self-esteem, Activities of Daily Living, and Family Support on Depression in the Community-dwelling Elderly

So Young Lee

doi:10.12799/jkachn.2010.21.4.489

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Original Article
The Effects of Health Behavior-related Characteristics, Self-esteem, Activities of Daily Living, and Family Support on Depression in the Community-dwelling Elderly: So Young Lee; Journal of Korean Academy of Community Health Nursing 2014;21(4):489-501.
DOI: https://doi.org/10.12799/jkachn.2010.21.4.489
Published online: April 4, 2014

Assistant Professor, Department of Nursing, Kkottongnae Hyundo University of Social Welfare, Korea.

• Received: October 15, 2010 • Revised: December 16, 2010 • Accepted: December 16, 2010

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.

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Abstract
NOTES

Abstract

Purpose
The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly.
Methods
The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12.
Results
There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders' depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%.
Conclusion
Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.
Key Words: Health behavior; Activities of daily living; Depression; Aged

Table 1

General Characteristics and Depression Status of the Participants (N=229)

Note. Numbers are excluded no response.

Table 2

Health Behavior Related Characteristics of the Participants (N=229)

Note. Numbers are excluded no response; ^†Overlapping responses are included.

Table 3

Means, Standard Deviations, and Correlations among Influencing Factors on Depression

Table 4

Depression according to the Health Behavior Related Characteristics (N=229)

Note. Numbers are excluded no response.

a, b, c=Tukey's test (means with the same letters are significantly different).

Table 5

Influencing Factors on Depression in Community-dwelling Elderly

^†Continuous variables.

NOTES

This research was supported by Research Fund of Kkottongnae Hyundo University of Social Welfare, 2009 (KURI2009-005).

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