BACKGROUND: Although the suicide rate in Korea is the highest in the world, only limited studies have been done on suicide and its associated factors. In this regard, we studied a conceptual model and the relationships and interactions of activity of daily living (ADL), social support, depression, and suicidal ideation among elderly women in Korea. METHODS: A cross-sectional descriptive study, subjects included 194 community-dwelling elderly women. Their ADL, multi-dimensional scale of perceived social support (MSPSS), depression, and suicidal ideation (SI) were examined. The t-test, ANOVA test, Pearson's correlation coefficient, multiple regression analysis, and structural equation modeling were utilized in data analysis. RESULTS: There were significant correlations between SI and economic status, social support, and depression. Depression was correlated with not only SI but also ADL (r=0.195, P=0.006) and social support (r=-0.337, P<0.001). Absolute fit indices demonstrated that the research model had a good model fit. There were significant factor loading values from depression to SI (standardized estimate=0.157, P=0.023) and from social support to SI (standardized estimate=-0.308, P<0.001). There were two indirect effects from social support to SI and from ADL to SI. The mediating factor of these two indirect effects was depression. CONCLUSIONS: Suicidal ideation in the elderly needs to be prevented; and more attention should be given to this end. Social support programs encouraging family participation are greatly effective in prevention of senior citizens' suicidal ideation.
Activities of Daily Living ; Aged* ; Depression ; Female ; Humans ; Korea ; Negotiating ; Statistics as Topic ; Suicidal Ideation* ; Suicide

BACKGROUND: The purpose of this study was to examine the effects of a group intervention program on elderly people with chronic disease(s) living in the community. METHODS: This study was a nonequivalent control group pretest-posttest study. Participants were 101 elderly persons with hypertension and/or diabetes mellitus. The experimental group participated in an intervention program as a group while the control group participated individually, both for 16 weeks. The program involved health education, stretching exercises with thera-band and massage. The experimental group attended this program including group discussions while the control group attended the same program but without group discussions. Data were collected before and after the intervention, which went from September 1 to December 26, 2010. Data were analyzed using descriptive statistics, Spearman's rho and repeated measure analysis of covariance. RESULTS: There were significant differences between the groups for depression (F=49.756, P<0.001) and quality of life (F=7.289, P=0.008) after the intervention program. CONCLUSIONS: Our results indicate that intervention programs with a group approach are more effective than an individual approach for community-dwelling elderly with chronic disease. Therefore, a group approach should be considered when planning programs for elders in the community.
Aged ; Chronic Disease ; Depression ; Diabetes Mellitus ; Exercise ; Health Education ; Humans ; Hypertension ; Massage ; Quality of Life

PURPOSE: The purpose of this study was to analyze the relation between sex perception, sexual life satisfaction, and life satisfaction of the elderly. METHODS: The respondents were 227 elders aged over 65. Data were collected from February 10 to December 15, 2007 by interviews and questionnaires. RESULTS: Of the respondents, 18.8% still had sex life and 25.5% wanted to have a date. The main reason to have a date was to relieve loneliness, and the percentage of those who wanted a date was 58.3. The perception level of sex life was 2.27 (men: 2.51, women: 2.14), the satisfaction level of sex life was 2.74 (men: 2.89, women: 2.64), and the level of life satisfaction was 2.98 (men: 3.10, women: 2.92). There was a positive correlation between the perception level of sex life and the satisfaction level of sex life; a positive correlation between the satisfaction level of sex life and the level of life satisfaction; and no correlation between the perception level of sex life and the level of life satisfaction. CONCLUSION: This study provides a base supporting the usefulness of various nursing intervention programs to enhance the quality of life through making elderly people have a positive perception of sex life.
Aged* ; Surveys and Questionnaires ; Female ; Humans ; Loneliness ; Nursing ; Quality of Life ; Sexuality

PURPOSE: This study was conducted to test effects of a cognition activation program on ADL, cognitive functions, depression, and QOL in the institutionalized elderly. METHODS: The subjects were 40 elders who were admitted to a nursing home, with 20 of them in the experimental group and the other 20 in the control group. Data were collected from September 1 to December 17, 2012. The experimental group participated in a 12 week intervention program. ADL, cognitive functions, depression, and QOL were measured before and after the intervention. Data were analyzed by t-test and regression analysis of the SPSS and AMOS programs. RESULTS: ADL (t=2.468, p=.017), depression (t=-2.625, p=012), and QOL (t=2.428, p=.020) were more significantly improved in the experimental group than in the control group, but there were no statistical differences in cognitive function between the two groups. Cognitive functions had positive effects on ADL (CR=-2.263, p=.024) and depression affected QOL (CR=-7.248, p<.001). CONCLUSION: The intervention program had positive effects on ADL, depression, and QOL except cognition. Cognitive functions of elders dramatically decrease after age 85, and it takes too much time to improve it. Therefore the program for the improvement of cognitive functions should be provided as early as possible.
Activities of Daily Living ; Aged ; Cognition* ; Depression ; Humans ; Clinical Trial ; Korea* ; Nursing Homes ; Quality of Life

PURPOSE: The purpose of this study is to find the effects of an exercise program on body composition, serum lipids, and menopausal symptoms in Korean menopausal women. METHODS: This research used nonequivalent control group pretest-posttest design. The participants were 30 middle-aged women who were divided into two groups, an experimental group (n=16) who participated in the exercise program and a control group (n=14). The exercise program was composed of gymnastic-ball exercises with RPE 12~13 intensity, 50 minutes' duration and three times a week for 12 weeks from April 1 to June 30, 2008. The dependent variables (body composition, serum lipids, menopause symptoms, self-efficacy, and life satisfaction) were measured before and after exercise program. RESULTS: There were statistically significant difference in weight (F=2.92, p=.049), percent body fat (F=4.22, p=.040), total cholesterol (F=2.63, p=.017) and high density lipoprotein (F=6.74, p=.015) between the two groups. Psychological menopausal symptoms also decreased significantly (F=7.01, p=.014) after the exercise in the experimental group. CONCLUSIONS: Regular gymnastic-ball exercises are helpful for menopausal women. They have positive effects not only on body composition and serum lipids but also on the decrease of menopausal symptoms. The results of this study suggest that gymnastic-ball exercise programs are effective in health promotion of Korean middle-aged women, and thus it is necessary to develop exercise programs for women.
Adipose Tissue ; Body Composition* ; Cholesterol ; Exercise ; Female ; Health Promotion ; Humans ; Lipoproteins ; Menopause

PURPOSE: The purpose of this study was to identify differences in health status and the utilization of long-term care service between urban and rural aged residents in Korea. METHODS: Through convenience sampling, 1,405 elders (829 from urban areas and 576 from rural areas) were selected during March 1 to May 31 in 2004. All the subjects agreed to participate and filled out the survey questionnaire after signing the consent form. The instruments utilized in this study were the impairment of physio-sensory function, ADL IADL, cognitive function, and psycho-social function scale. This instrument was developed by modifying the scale developed by Gurland & Wilder (1984). Data was analyzed using the SPSS Win program. RESULTS: There were significant differences in economic status, duration of living and type of medical insurance between rural and urban elderly(p<.05). Physio-sensory functions (t=4.53, p<.001), ADL (t=3.61, p<.001), IADL (t=2.45, p=.014), cognitive functions (t=-2.63, p=.024) and psycho-social functions (t=3.69, p<.001) were significantly different between the two groups. The utilization of long-term care facility in the urban elderly was significantly higher than that in the rural elderly (chi2=10.14, p<.001). CONCLUSION: Considering these findings, the need for long-term care should be assessed by residence characteristics. Because of different utilization of long term care facility according to the elderly's needs, long-term care services should be considered the residence characteristics.
Activities of Daily Living ; Aged ; Consent Forms ; Humans ; Insurance ; Korea ; Long-Term Care* ; Residence Characteristics ; Surveys and Questionnaires

PURPOSE: Purposes of this study were: evaluation of family burden of caring for elders who receive long term care services, and examination of differences in burden before and after the introduction of long term care service in Korea. METHODS: Data were collected by questionnaires from 416 caregivers of elders who were registered with the Long Term Care Insurance Corporation in six cities. Data were collected in September, 2010 and analyzed using descriptive statistics, paired t-test, and ANOVA with the Scheffe test, and stepwise multiple regression. RESULTS: Family burden decreased significantly after long-term care service was initiated. Subjective burden decreased from 2.93 to 2.69 (t=11.78, p<.001), and objective burden, from 3.40 to 3.10 (t=12.73, p<.001). Stepwise multiple regression analysis revealed that factors affecting subjective burden were family relations (F=13.60, p=.003), age (F=5.47, p=.019), job (F=6.98, p=.008), and education (F=4.59, p=.032), and that factors affecting objective burden were living together (F=17.66, p<.001), job (F=13.34, p=.003), monthly income (F=6.61, p=.010), and type of service (F=6.62, p=.010). CONCLUSION: The results of this first study to investigate caregiver burden after the Korean Long-term Care Insurance System was begun provide positive information for the development of strategies to decrease family burden in long term care.
Adaptation, Psychological ; Adult ; Age Factors ; Aged ; Caregivers/*psychology ; Dependency (Psychology) ; Family ; Female ; Humans ; Income ; *Insurance, Long-Term Care ; Male ; Middle Aged ; Questionnaires ; Regression Analysis ; Republic of Korea

PURPOSE: The purpose of this study was to examine satisfaction with counseling in long-term care service, and to compare the scores of counseling satisfaction according to variables among beneficiaries of Korean long-term care services. METHODS: Questionnaires were completed by 445 beneficiaries of long-term care insurance to measure satisfaction with counseling. Research design was cross-sectional descriptive design. Data were analyzed using descriptive statistics, t-test and ANOVA for evaluating differences in satisfaction with counseling according to variables including economic status, the level of long-term care insurance approval, duration of long term care service, and conditions of counseling. RESULTS: The score of satisfaction with counseling was somewhat high as 71.67. The score of counselor's attitude was highest among the subcategories of satisfaction. The factors that influenced satisfaction with counseling were frequency and time of counseling (F=12.19, p<.001). CONCLUSION: Home-based individual counseling is necessary for the elderly who need long-term care service. The National Long-term Care Insurance Corporation should offer counseling and assistance to elders and their caregivers about long term care insurance.
Aged* ; Caregivers ; Counseling* ; Humans ; Insurance, Long-Term Care ; Long-Term Care* ; Research Design ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to analyze factors influencing the quality of life in Vietnamese married immigrant women in Korea. The factors included socio-demographic characteristics, spouse's support, and social support of Vietnamese married immigrant women. METHODS: A descriptive survey was conducted to collect data from 190 subjects during the period between May and June, 2015. The randomly sampled subjects answered a self-report questionnaire translated into Vietnamese. Collected data were analyzed using SPSS/WIN 21. RESULTS: The subjects' quality of life was found to be influenced by economic level, subjective perception of their own and spouse's health, Korean communication ability, spouse's support, and social support. The most influential factor for the quality of life was spouse's support, and next, subjective perception of their own health, Korean communication ability, and economic level in order of influence. CONCLUSION: The results of this study suggest that social support programs should be customized to the subjects' characteristics in order for married immigrant women to adjust themselves to new Korean environments and to lead a high-qualitylife through the promotion of marital relationship, Korean communication ability, health status, and economic capability.
Asian Continental Ancestry Group* ; Communication ; Emigrants and Immigrants* ; Female ; Humans ; Korea* ; Marriage ; Quality of Life* ; Vietnam

PURPOSE: This study was descriptive survey research to examine the factors affecting menopause, depression and menopausal symptoms, and the relations among these factors in South Korean midlife women. METHODS: The subjects were 319 midlife women in Daegu City. Measures were Zung's Self-Report Depression Scale (1979) to check depression, and the Midlife Women's Symptom Index developed by Im (2006) to check menopausal symptoms. Data were collected from June 1 to July 31, 2010. Collected data were analyzed by mean, standard deviation, and Pearson's correlation coefficient through SPSS/WIN 18.0. RESULTS: There was a statistically significant correlation between depression and menopausal symptoms (r=.692, p<.001). The factors affecting depression were age (r=.194, p<.001), income (r=-.307, p<.001), exercise (r=-.602, p<.001), and menopausal status (r=.224, p<.001). The factors affecting menopausal symptoms were exercise (r=-.158, p<.037), menstrual pain (r=-.171, p=.004) and menopausal status (r=.222, p<.001). CONCLUSION: Intervention programs for decreasing menopausal symptoms in midlife women should be focused on relieving menopausal pain and encouraging excise from youth. Further studies will be needed to examine the relations among other factors including living style, area and menopausal symptoms.
Adolescent ; Daegu ; Depression* ; Dysmenorrhea ; Female ; Humans ; Menopause