The Association between Family Support, Activities of Daily Living and Depression among Hospitalized Older Patients with Chronic Diseases

Abstract

= Abstract =Purpose: This study was performed to identify the association between family support, activities of daily living (ADL) and depression among hospitalized older patients with chronic diseases. Methods:This study subjects were 100 elderly patients with chronic diseases including chronic respiratory diseases, diabetes mellitus and et al. in a general hospital. The collected data were patient characteristics, family support, ADL, and depression by structured questionnaire and medical chart review. The used statistical analyses were t-test, analysis of variance, Pearson's correlational analysis and multiple regression analysis. Results:The mean scores of family support, ADL and depression were 49.95±8.68, 8.65±2.65, 6.66±3.78, respectively. The prevalence rate of depression was 64.0%. In simple analysis, the statistically significant associated factors with depression were age, spouse, economic status, social activity, subjective health status, and number of pain. Depression had statistically a significant positive correlation with ADL and a negative correlation with family support. The final result of hierarchial multiple regression analysis (Model 3), the factors related to depression were family support (b=-.135, p<.001), subjective health status (b=2.510, p=.001). Conclusions:It is necessary to develop and apply the program for controlling the depression of elderly patients with health education, reinforcement of supportive systems in hospital. And, further multidisciplinary studies should be done.

The effects of a chronic disease/disability and stress from health on depressive symptoms among one-person households: A focus on the moderating effect of social support

“…과의 관계는 선행연구에서 주로 노인을 대상으로 다루어졌으나 (Lee & Ok, 2017;Kim et al, 2016), 젊은층의 만성질환율도 높아지는 추세이며 초기 관리가 중요하므로 이들을 포함한 연구 가 필요하다. 특히, 1인 가구는 사회·경제적인 지위가 다인 가구 에 비해 취약하므로 (Gyeonggi Welfare Foundation, 2017;Kim et al, 2018) 건강관리가 부담이 될 수 있다.…”

“…또한 1인 가구는 다 인 가구에 비해 불균형적인 식단과 영양섭취가 부족하여 (Nam & Lee, 2018), 만성질환의 위험이 높다는 보고가 있다 (Lee & Kim, 2017 (Krohne, 2002 (Schwarzer & Leppin, 1991;Thoits, 1995 (Baek et al, 2016;Seo, Jung, & Kim, 2013). 대부분의 연구는 노인을 대상으로 하여 만성질환 과 정신건강과의 관계를 밝혔으며 (Lee & Oh, 2017;Kim et al, 2016) (Oh, 2013;Yoo, 2016 . 따라서 본 연구에서 는 스트레스 요인에 대한 반응으로서 건강 스트레스를 독립변수 로 포함하여 우울에 미치는 영향을 살펴보고자 한다.…”