The Relationship of Perceived Health Status, Activities of Daily Living and Nutrition Status in the Community-Dwelling Korean Elderly

재가 노인의 주관적 건강, 일상생활 수행 능력, 영양 상태 간의 관계

  • Kang, Youn-Hee (College of Nursing Science, Ewha Womans University) ;
  • Kim, Mi-Young (Department of Nursing, Ewha Womans University Dongdaemun Hospital) ;
  • Lee, Eliza (College of Nursing Science. Ewha Womans University)
  • 강윤희 (이화여자대학교 간호과학대학) ;
  • 김미영 (이화여자대학교 의과대학부속 동대문병원) ;
  • 이에리쟈 (이화여자대학교 간호과학대학)
  • Published : 2008.02.29

Abstract

Purpose: This study aimed to identify the associated factors of the perceived health status of the elderly in Korea and to provide basic data for developing nursing interventions for the elderly's health management. Methods: This study used a descriptive correlational research design. The subjects of this study were 335 elderly people over 60 yr living in an urban city. Data were collected through personal interviews using questionnaires from September 2006 to March 2007. Empirical indicators of perceived health status were measured by SF-36, nutritional screening initiative (NSI), activities of daily living (ADL) Index, and instrumental activities of daily living (IADL) scale. The collected data were analyzed by descriptive statistics, Pearson's correlation, and hierarchical regression. Results: The mean age of the subjects was 72.8 and 57.0% of subjects were female. 41.5% of variance in physical health was explained by nutrition, ADL, IADL, and the number of years attending school. Among them the most important factor was ADL. 13.2% of variance in mental health was explained the number of family, nutrition, and IADL. Among them the most important factor was nutrition. Conclusion: It is necessary to develop supportive interventions for improving the perceived health status of elderly people by considering the most important factors shown in this study.

Keywords

References

  1. Bobak, M., Pikhart, H., Hertzman, C., Rose, R., & Marmot, M. (1998). Socioeconomic factors perceived control and self-reported health in Russia. A cross-sectional survey. Soc Sci Med, 47, 269-279 https://doi.org/10.1016/S0277-9536(98)00095-1
  2. Choi, E. J. (2000). Social relationship, social support and mental and physical health for old adults. Society Culture, 11, 185-203
  3. Choi, Y. J., Park, Y. S., Kim, C., & Chang, Y. K. (2004). Evaluation of functional ability and nutritional risk according to Self- Rated Health (SRH) of the elderly in Seoul and Kyunggi-do. Korean Nutr Soc, 37, 223-235
  4. Gong, S. J., Kim, H. S., & Ha, M. O. (2005). The predictors of subjective well-being among older adults. J Korean Acad Adult Nurs, 17, 368-378
  5. Han, A. K. (2004). A study on physiological parameter, physical health status, and health perception in the elderly. J Korean Acad Adult Nurs, 16, 460-469
  6. Han, K. H. (2000). Nutritional and health status of the elderly male and female in chong-ju area. J Appl Sci Technol, 6(1), 307-329
  7. Jang, E. H., Kim, H. J., Kwon, K. N., Chung, K. A., Kim, Y. H., & Lee, I. H. (2003). A survey on physical health status and health behavior of the elderly who live alone and who live with family. Yeungnam College Science Technology, 33, 91-104
  8. Jung, Y. M. & Kim, J. H. (2004). Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. J Korean Acad Nurs, 34, 495-503 https://doi.org/10.4040/jkan.2004.34.3.495
  9. Kanagae, M., Abe, Y., Honda, S., Takamura, N., Kusano, Y., Takemoto, T., et al. (2006). Determinants of self-rated health among community-dwelling women aged 40 years and over in Japan. Tohuku J Exp Med, 210(1), 11-19 https://doi.org/10.1620/tjem.210.11
  10. Keller, H. H. (2004). Nutrition and health-related quality of life in frail older adults. J Nutr Health Aging, 8, 245-252
  11. Kennedy-Malone, L., Fletcher, K. R., & Plank, L. M. (2004). Management guidelines for nurse practitioners working with older adults (2nd ed.). Philadelphia: F. A. Davis Company
  12. Kim, C. G. (2007). The relationship of family support, health perception, nutritional status and depression in elders. J Korean Gerontol Nurs, 9(1), 14-21
  13. Kim, Y. S. (2003). Health state variation and health management of old men. Unpublished master's thesis, Kosin University, Pusan
  14. Kim, C. G., Jang, H. J., & Kim, S. S. (2001). The correlation between ability of activity in daily living and self-care agency among elderly in chunchon province. J Korean Acad Adult Nurs, 13(1), 40-52
  15. Korea National Statistical Office (2006). Korean standard industrial classification. Retrieved from http://www.nso.go.kr
  16. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179-186 https://doi.org/10.1093/geront/9.3_Part_1.179
  17. Lee, S. Y., Choi, S. J., & Na, Y. H. (2001). A study on the healthrelated quality of life. Korean J Gastrointestinal Mortality, 7(1), 6-17
  18. Lee, K. J., & Park, H. S. (2006). A study on the perceived health status, depression, and activities of daily living for elderly in urban areas. Korean J Women Health Nurs, 12, 221-230
  19. Mahoney, F. J., & Barthel, D. W. (1965). Functional evaluation: The barthel index. Md State Med J, 14(1), 1-3
  20. Ministry of Health & Welfare (2007). The World Health Report. Retrieved Nov. 6, 2007, from http:// www.nso.go.kr
  21. Ministry of Health & Welfare (2006). Society at a glance-OECD social indicators. Retrieved Aug. 31, 2007, from http:// www.nso.go.kr
  22. Phillips, L, J., Hammock, R. L., & Blanton, J. M. (2005). Predictors of self-rated health status among Texas residents. Prev Chronic Dis, 2(4), 1-10
  23. Ro, Y. J., & Kim, C. G. (1995). Comparisons of physical fitness, self efficacy, instrumental activities of daily living, and quality of life between institutionalized and noninstitutionalized elderly. J Korean Acad Nurs, 25, 259-278
  24. Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the barthel Index for stroke rehabilitation. J Clin Epidemiol, 42, 703-709 https://doi.org/10.1016/0895-4356(89)90065-6
  25. Smith, A. M., Shelley, J. M., & Dennerstein, L. (1994). Self-rated health: biological continuum or social discontinuity? Soc Sci Med, 39(1), 77-83 https://doi.org/10.1016/0277-9536(94)90167-8
  26. Song, K. C., & Kim, D. K. (2002). Activities of daily living of elderly in a rural area and study for related factors. J Korean Geriatr Soc, 6(1), 29-40
  27. Sung, J. A. (2007). A study on the cognitive function and quality of life in the elderly people living at home. Unpublished doctoral dissertation. Ewha Womans University, Seoul
  28. Ware, J. E. (1976). Scales for measuring general health perceptions. Health Serv Res, 11, 396-415
  29. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection. Med Care, 30, 473-483 https://doi.org/10.1097/00005650-199206000-00002
  30. Woo, E. K., Han, C. S., Jo, S. A., Park, M. K., Kim, S. S., Kim, E. K., et al. (2007). Morbidity and related factors among elderly people in South Korea: results from the Ansan Geriatrics (AGE) cohort study. BMC Public Health, 7(10), 1-9 https://doi.org/10.1186/1471-2458-7-1