-
Predictive Model for Quality of Life of the Older Men Living Alone
-
Su Jin Kim, Gyeong-Suk Jeon
-
J Korean Acad Nurs 2020;50(6):799-812. Published online December 31, 2020
-
DOI: https://doi.org/10.4040/jkan.20087
-
-
Abstract
PDF
- Purpose
This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone. Methods A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs. Results The final model with 14 of the 8 analysed paths showed a good fit to the empiri cal data: χ2= 173.26(p < .001, df = 53),normed χ2= 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects.The variables included in the eight significant paths explained 83.7% of variance in the prediction model. Conclusion Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.
-
Citations
Citations to this article as recorded by 
- Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study
Hana Ko, Belong Cho, Kyung-Choon Lim, Soong-Nang Jang, Sun Ju Chang, Yu Mi Yi, Hye Ryung Cho, So Im Ryu, Eun-Young Noh, Yeon-Hwan Park Frontiers in Public Health.2023;[Epub] CrossRef - Influencing factors on self-care of older adults living alone in a community during COVID-19: A cross-sectional study
Heeyoung Woo, Minkyung Gu Journal of Korean Gerontological Nursing.2023; 25(1): 1. CrossRef - A novel nomogram to stratify quality of life among advanced cancer patients with spinal metastatic disease after examining demographics, dietary habits, therapeutic interventions, and mental health status
Yue Li, Ze Long, Xiuju Wang, Mingxing Lei, Chunzi Liu, Xiaolin Shi, Yaosheng Liu BMC Cancer.2022;[Epub] CrossRef - Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
Eun-Kyung Lee, Sun-Young Jung The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61. CrossRef
-
1,540
View
-
27
Download
-
2
Web of Science
-
4
Crossref
-
A Study on the Postpartum Depression Experience: Q-Methodological Approach
-
Hye Sook Jang, Su Jin Kim, Jeong Sun Kim, Hung Kyu Kim, Euy Soon Choi
-
Journal of Nurses Academic Society 1996;26(4):917-929. Published online March 30, 2017
-
DOI: https://doi.org/10.4040/jnas.1996.26.4.917
-
-
Abstract
PDF
The purpose of this study is to explore types of postpartum depression and to understand the nature and structure of the postpartum depression by using Q-methodological approach. As a way of research, 55 statements concerning postpartum depression were selected through individual interviews with postpartum mothers and literature review. 30 women were chosen as a subject group for the study, with opinions shown in 55 statements divided into 9 scales by forced distribution. PC QUANL Program was used for analysis and Q-factors were analyzed by using principal component analysis. As a result, postpartum depression experience was classified into 5 types. There are "Role -Strain Type", "Unattributional Depression Type", "Psychosomatic Symptoms Type", "Self-Compassion Type", and "Role-Crisis Type". Type I was named "Role-Strain Type", referring to the strain generally experienced by mothers with regard to the new role as a mother and as a social member. Type II was named "Unattributional Depression Type", referring to the symptom experienced by people who were in a state of vanity and a sense of loss. They often break into tears for no specific reasons. In case of Type III, people in a state of "Psychosomatic Symptoms Type" develop physical symptoms after suffering from inherent emotional conflict. Type IV was named "Self-Compassion Type" refers to the symptom shown by those who feel pity for their children and for themselves. And they show inability to cope with the reality properly. Type V was named "Role-Crisis Type", which is experienced by people who have a burden and a severe fear of their own job and their children in their mind, also showing serious conflict with maternal role. Futhermore, it was carried out to examine structure of postpartum depression in terms of degree of depression and adjustment ability. Type I showed mild degree of depression and relatively good adjustment ability. Type II showed broad range of degree in depression and moderate adjustment ability. Type III showed moderate depression and relatively low adjustment ability. Type IV revealed relatively serious degree of depression and the lowest adjustment ability. Type V revealed very serious degree of depression and the lowest adjustment ability. As a result, considering the structure of postpartum depression, Type I is considered to be a normal depression sympton which most mothers generally experience, followed by Type II, Type III, Type IV and Type V, each of which show increasingly worse degree of depression and lower adjustment ability. In conclusion, it seems to be it is necessary to understand distinct symptoms of postpartum depression and to examine the characteristics and structure of those types, so that it could lead to more individual nursing approach.
|