The Relationship among Depression, Self-esteem and ADL in the Case of the Hospitalized Elderly Patients with Chronic Disease

만성질환으로 입원한 노인 환자의 우울, 자아존중감 및 일상생활수행능력(ADL)간 관계연구

  • Yeo, Yeon-Og (Graduate School, Hanyang University.Seoul Medical Center) ;
  • Yoo, Eun-Kwang (Department of Nursing, Hanyang University)
  • 여연옥 (한양대학교 대학원.서울의료원) ;
  • 유은광 (한양대학교 간호대학)
  • Received : 2010.10.05
  • Accepted : 2010.12.15
  • Published : 2010.12.31

Abstract

Purpose: This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. Methods: A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. Results: 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction ($R^2=.57$), while self esteem in itself explained 45% of variance in depression. Conclusion: These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

Keywords

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