Factors Affecting Depression in Elderly Vulnerable People Living Alone

취약계층 독거노인의 우울에 미치는 영향변인

  • Kim, Hyun-Mi (Department of Nursing, Taegu Science University) ;
  • Choi, Yeon-Hee (College of Nursing, Kyungpook National University)
  • Received : 2011.08.30
  • Accepted : 2011.12.05
  • Published : 2011.12.31

Abstract

Purpose: The purpose of this study was to investigate factors that influenced depression of the elderly vulnerable people living alone in the public home visiting health service center. Methods: The participants for this study were 491 Korean elderly men living in G city. Data were collected from February to July, 2011 using structured questionnaires. ${\chi}^2$-test, t-test, Pearson's correlation coefficient and multiple regression with the SPSS/WIN program were used to analyze the data. Results: The levels of ADL and IADL of the elderly living alone were higher, and the levels of social support and life satisfaction were lower than the normal elderly. Depression was positively related to ADL and IADL and negatively to social support and life satisfaction in the elderly living alone. In addition, age, fall experience, ADL, IADL and life satisfaction had influence on the depression. Conclusion: The elderly living alone are in a more serious health status, especially in depression than the normal elderly. It is necessary to develop depression controlling intervention programs in order to promote healthy lifestyles for the elderly vulnerable people living alone.

Keywords

References

  1. Brandt, P., & Weinert, C. (1985). The PRQ: A social support measure. Nursing Research, 30 , 277-280.
  2. Bowling, A, Banister, D., Sutton, S., Evans, O., & Windsor, J. (2002). A multidimensional model of the quality of life older age. Aging & Mental Health, 6 , 355-371. https://doi.org/10.1080/1360786021000006983
  3. Buttler, J., & Ciarrochi, J. (2007). Psychological acceptance and quality of life in the elderly. Quality of life Research, 16 , 607-615. https://doi.org/10.1007/s11136-006-9149-1
  4. Cha, S. H., Han, K. H., & Lee, J. H. (2002). Relationship between self-rated health and physical, mental social health: Differences among three aged group. Journal of the Korean Gerontological Society, 22, 173-190.
  5. Choi, I. H. (2003). A study on self-efficacy, family support and health promoting behavior of the aged in a community. Journal of the Korean Academy of Community Health Nursing, 14 , 1-10.
  6. Choi, Y. H. (2007). A study on depression, sleep and fatigue in younger and older elders. Journal of the Korean Academy of Community Health Nursing, 18 , 223-231.
  7. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates, Publishers.
  8. Fiori, K. L., Antonucci, T. C., & Cortina, K. S. (2006). Social network typologies and mental health among older adults. The Journal of Gerontology, 61 , 25-32. https://doi.org/10.1093/geronb/61.1.P25
  9. Hakim, R. M., Roginski, A., & Walker, J. (2007). Comparison of fall education methods for primary prevention with community- dwelling older adults in a senior center setting. Journal of Geriatric Physical Therapy, 30 , 60-68. https://doi.org/10.1519/00139143-200708000-00005
  10. Jeon, K. S., Lee, H. K., Hong, B. K., & Jang, S. R. (2007). Community health promotion program for vulnerable women. Journal of Korean Society for Health Education and Promotion, 24 , 99-118.
  11. Kim, M. L. (2006). The study of comparing the factors of affecting on the satisfaction of life for young-old women and old-old women. Korean Journal of Social Welfare, 58 , 197-222.
  12. Kim, Y. H. (2003). Social structure and action in social theorytoward micro-foundation of macro-social phenomena. Seoul: Nanam Publishing House.
  13. Kwon, Y. C., & Park, J. H. (1989). Standardization of Korean version of the mini-mental state examination for use in the elderly. part II. diagnostic validity. Journal of the Korean Neuropsychiatric Association, 28 , 125-135.
  14. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9 , 179-186. https://doi.org/10.1093/geront/9.3_Part_1.179
  15. Lee, H. S., Kim, H. S., & Jung, Y. M. (2009). Depression and quality of life in Korean elders. Journal of Korean Academy of Community Health Nursing, 20 (1), 12-22.
  16. Lee, M. S. (2000). Sense of mastery and depression in community dowelling elders. Unpublished master's thesis, Wonkwang University, Iksan.
  17. Litwin, H., & Landau, R. (2000). Social network type and social support among the old-old. Journal of Aging Studies, 14 , 213-228. https://doi.org/10.1016/S0890-4065(00)80012-2
  18. Ministry for Health and Welfare Affairs. (2009). Statistical yearbook of health and welfare 2008. Seoul: Author.
  19. Park, H. S., & Lee, K. J. (2007). A study on the health behaviors, physical function, and life satisfaction for elderly women. Korean Journal of Women Health Nursing, 13 , 115-122.
  20. Park, K. M., & Ha, E. K. (2004). Ability of self care and health promotion lifestyle for vulnerable elderly in urban community. Korean Public Health Researches, 30 (1), 96-103.
  21. Park, J. S., & Lee, H. R. (2003). A comparative study on a health promoting lifestyle and perceived health status between high and low income elderly. Journal of Korean Academy of Community Health Nursing, 14 , 157-166.
  22. Puts, M. T., Shekary, N., Widdershoven, G., Heldens, J., Lips, P., & Deeg, D. J. (2007). What does quality of life mean to older frail and non-frail community-dwelling adults in the Netherlands? Quality of Life Research, 16 , 263-277. https://doi.org/10.1007/s11136-006-9121-0
  23. Scheffer, A. C., Schuurmans, M. J., Dijk, N., & Hooft, T. (2008). Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age and Aging, 37, 19-24. https://doi.org/10.1093/ageing/afm169
  24. Sheikh, J. A., & Yesavage, J. A. (1986). Geriatric depression scale (GDS): Recent evidence and development of a shorter version clinical gerontology; A guide to assessment and intervention. New York, NY: Haworth.
  25. Smith, J., Borchelt, M., Maier, H., & Jopp, D. (2002). Health and well-being in the young old and oldest old. Journal of Social Issues, 58 , 715-732. https://doi.org/10.1111/1540-4560.00286
  26. Stones, N. J., & Kozma, A. H. (1980). Issues relating to the usage and conceptualization of mental health contracts employed by gerontologists. International Journal of Aging and Development, 11 , 269-281. https://doi.org/10.2190/43W5-P9WE-3V42-5RJ0
  27. Sugisawa, H., Shibata, H., Hougham, G. W., Sugihara, Y., & Liang, J. (2002). The impact of social ties on depressive symptoms in U.S. and Japanese elderly. Journal of Social Issues, 58, 785-804. https://doi.org/10.1111/1540-4560.00290
  28. Won, C. W., Yang, K. Y., Rho, Y. G., Kim., S. Y., Lee., E., Yoon., J. L. et al. (2002). The development of Korean Activities of Daily Living (K-ADL) and Korean Instrumental Activities of Daily Living (K-IADL) Scale. Journal of Korean Geriatrics Society, 6, 107-120.
  29. Won, C. W., Yang, K. Y., Rho, Y. G., Kim, S. Y., Lee, E., Yoon, J. L., et al. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academic of Nursing, 38 , 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  30. Won, J. S., & Kim, J. H. (2003). Influencing factors on cognitive function and depression in elderly. Journal of Korean Academic Psychiatric Mental Health Nursing, 12, 148-154.