Health Status, Health Perception, and Health Promotion Behaviors of Low-income Community Dwelling Elderly

빈곤층 노인의 건강상태, 건강인식 및 건강증진행위 실천 간의 관계 -보건소 방문간호 대상자 중심으로 -

  • Lee Tae-Wha (College of Nursing, Nursing Policy Research Institute, Yonsei University) ;
  • Ko Il-Sun (College of Nursing, Yonsei University) ;
  • Lee Kyung-Ja (College of Nursing, Yonsei University) ;
  • Kang Kyeong-Hwa (Nursing Policy Research Institute, Yonsei University)
  • 이태화 (연세대학교 간호대학, 간호정책연구소) ;
  • 고일선 (연세대학교 간호대학) ;
  • 이경자 (연세대학교 간호대학) ;
  • 강경화 (연세대학교 간호대학 간호정책연구소)
  • Published : 2005.04.01

Abstract

Purpose: The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community. Method: The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses. Result: The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, $64.2\%$ of the subjects perceived their health status as 'not healthy'. In terms of health promotion behaviors, $77.8\%$ of the subjects had ceased smoking, $83.9\%$ stopped drinking, $56.4\%$ had a regular diet, $45.8\%$ received regular physical check-ups during the past two years, and $66\%$ received flu shots. Approximately $50\%$ of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy. Conclusion: Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

Keywords

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