Effects of a Nurse Presence Program on Suicide Prevention for Elders with a Chronic Disease

간호사의 함께있음 프로그램이 만성질환 노인의 자살예방에 미치는 효과

  • Jo, Kae-Hwa (Department of Nursing, School of Medicine, Catholic University of Daegu)
  • 조계화 (대구가톨릭대학교의과대학 간호학과)
  • Published : 2007.12.31

Abstract

Purpose: The purpose of this study was to identify the effects of a nurse presence program on suicide prevention for elders with chronic disease. Method: The subjects were recruited from two different elderly institutions located in D city and K province, Korea. Twenty subjects in the control group received no intervention and nineteen subjects in the experimental group received a nurse presence program. Result: There were more significant decreases in suicide ideation, and the cortisol level and increases in life satisfaction in the experimental group compared to the control group. Conclusion: According to the above results, a nurse presence program for elders with a chronic disease decreased stressful events like suicide ideation and increased self esteem through therapeutic interaction. These findings suggest that this program can be used as an efficient independent nursing intervention for elders in a critical situation.

Keywords

References

  1. Bae, J. Y. (2004). Case analysis about elderly suicide: Focusing contents of newspaper. Korean J Elderly Welf, 23, 65-82
  2. Boudreault, A., & Ntetu, A. L. (2006). Affective touch and self esteem in the elderly. Rech Soins Infirm, Sep(86), 52-67
  3. Brandtzaeg, P. (2007). Do salivary antibodies reliably rellect both mucosal and systemic immunity? NY Acad Sci, 1098, 288-311 https://doi.org/10.1196/annals.1384.012
  4. de Andrade, A. C., de Lima, F. R., Albuquerque e Silva, L. F., & Santos, S. S. (2005). Depression among the elderly in a long-term residential institution: Proposal for nursing action. Rev Gaucha Enferm, 26(1), 57-66
  5. Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. J Pers Assess, 49(1), 71-75 https://doi.org/10.1207/s15327752jpa4901_13
  6. Durkheim, E. (1951). Le suicide. Paris: PUF
  7. Gardner, D. L. (1985). Presence: Nursing interventions. Philadelphia: W. B. Sounders Co.
  8. Gu, M. O., Jeon, M. Y., Kim, H. J., & Eun, Y. C. (2005). A review of exercise interventions for fall prevention in the elderly. J Korean Acad Nurs, 35(6),1101-1112 https://doi.org/10.4040/jkan.2005.35.6.1101
  9. Hasegawa, Y., Kubota, N., lnagaki, T., & Shinagawa, N. (2001). Music therapy induced alternations in natural killer cell count and function. Nippon Ronen lgakkai Zasshi, 38(2), 201-204 https://doi.org/10.3143/geriatrics.38.201
  10. Hwang, J. H. (2006). The effects of the inhalation method using essential oils on blood pressure and stress responses of clients with essential hypertension. J Korean Acad Nurs, 36(7), 1123-1134 https://doi.org/10.4040/jkan.2006.36.7.1123
  11. Jo, K. H. (1999). The effect of nurse presence on depression, stress and quality of life of hemodialysis patient. Unpublished doctoral dissertation, The Catholic University of Korea, Seoul
  12. Kang, D. G. (2005). A study on factors influencing the depression of the elderly in rural. Unpublished master's thesis, Mokwon University, Daejeon
  13. Kim, H. S. (2002). A study on related factors about suicide ideation for Korean elderly. J Korean Gerontol. 22(1), 159-172
  14. Kreutz, G., Bongard, S., Rohrmann, S., Hodapp, V., & Grebe, D. (2004). Effects of choir singing or listenung on secretory immunoglobulin A, cortisol, and emotional state. J Behav Med, 27(6), 623-635 https://doi.org/10.1007/s10865-004-0006-9
  15. Lee, H. J., & Jo, K. H. (2006). A pathmodel for death anxiety to suicidal ideation of the elderly. J Korean Gerontol Soc, 26(4), 717-731
  16. Lee, P. S., Lee, Y. M., Lim, J. Y., Hwang, R. I., & Park, E. Y. (2004). The relationship of stress, social support and depression in the elderly. J Korean Acad Nurs, 34(3), 477-484 https://doi.org/10.4040/jkan.2004.34.3.477
  17. Maris, R. W., Berman, A. L., Maltsberger, J. T., & Yuflt, R. I. (1992). Assessment and prediction of suicide. New York: The Guilford Press
  18. Maris, R. W., Berman, A. L., & Silverman, M. M. (2000). Comprehensive textbook of suicidology. New York: The Guilford Press
  19. McAdams, D. P. (1996). Personality, modernity, and the storied self: A contemporary framework for studying persons. Psychological Inquiry, 7, 295-321 https://doi.org/10.1207/s15327965pli0704_1
  20. Osman, A., Kopper, B. A., Barrios, F. X., & Gutierrez, P. M. (2000). Positive and negative suicide ideation inventory. In K. Corcoran & J. Fischer(Ed.). Measures for clinical practice. A sourcebook, Vol. 2(pp. 589-590). New York: The Fress Press
  21. Park, K. S. (2000). A structures of age differences in labor market and old age employment. J Labor Eco, 23, 241-263
  22. Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J American Geriat Soci, 23, 433-441 https://doi.org/10.1111/j.1532-5415.1975.tb00927.x
  23. Raue, P. J., Meyers, B. S., Rowe, J. L., Heo, M., & Bruce, M. L. (2007). Suicidal ideation among elderly homecare patients. Int J Geriatr Psychiatry, 22(1), 32-37 https://doi.org/10.1002/gps.1649
  24. Snyder, M. (1992). Independent nursing interventions. 2nd ed. Albany, N.T.: Delmar
  25. Sun, F. K., Long, A., Boore, J., & Tsao, L. I. (2005). Suicide: A literature review and its implications for nursing practice in Taiwan. J Psychiatr Ment Health Nurs, 12(4), 447-455 https://doi.org/10.1111/j.1365-2850.2005.00863.x
  26. Templer, D. I., LaVoie, M., Chalgujian, H., & Thomas-Dobson, S. (2000). Death depression scale. In K. Corcoran & J. Fischer(Ed.). Measures for clinical practice. A sourcebook. Vol. 2(pp. 225-226). New York: The Fress Press
  27. The Bureau of Statistics (2005). The report of Korean population status. http://www.nso.go.kr
  28. Touhy, T. A. (2001). Nurturing hope and spirituality in the nursing home. Holist Nurs Pract, 15(4), 45-56
  29. Waern, M., Rubenowitz, E., & Wilhelmson, K. (2003). Predictors of suicide 111 the elderly. Gerontology, 49, 328-334 https://doi.org/10.1159/000071715
  30. Woods, D. L., & Dimond, M. (2002). The effect of therapeutic touch on agitated behavior and cortisol in persons with Alzheimer's disease. Biol Res Nurs, 4(2), 104-114 https://doi.org/10.1177/1099800402238331