Journal of Korean Academy of Nursing

The Concept Analysis of Ego-integrity in the Elderly: Sung Ok Chang, Eun Sook Kong, Kwuy Bun Kim, Nam Cho Kim, Ju Hee Kim, Chun Gill Kim, Hee Kyung Kim, Mi Soon Song, Soo Yeon Ahn, Kyung Ja Lee, Young Whee Lee, Si Ja Chon, Nam Ok Cho, Myung Ok Cho, Kyung Sook Choi; Journal of Korean Academy of Nursing 2004;34(7):1172-1183. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.7.1172

Purpose

Ego-integrity in Erikson's stage theory is used frequently among health team members related to the care of the elderly and has specific meanings within the context of quality of life in later life. However, the concept of ego-integrity in the elderly has not been well articulated in the literature. This study was conducted clarify and conceptualize the phenomena of ego-integrity in the elderly.

Method

A Hybrid Model of concept development was applied to develop a concept of ego-integrity, which included a field study carried out in Seoul, South Korea using in-depth interviews with old adults who were admitted as a right person for research subject according to attributes of ego-integrity analysed in the theoretical phase.

Results

The concept of ego-integrity emerged as a complex phenomenon having meanings in several different dimensions which encompassed several attributes.

Conclusions

Ego-integrity is a concept having needs that should be treated in a specific way and it is possible to enrich the meaning and methods to manage ego-integrity in nursing interventions for promoting quality of life so that its application may have effects that have positive impacts on the elderly's well being.

Citations

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Ego-Integrity Management of Residents in Nursing Homes: A Concept Analysis based on the Method by Walker and Avant
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Journal of Korean Gerontological Nursing.2018; 20(2): 97. CrossRef
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Development of a Scale to Measure Korean Ego-integrity in Older Adults: Sung Ok Chang, Eun Sook Kong, Kwuy Bun Kim, Nam Cho Kim, Ju Hee Kim, Chun Gill Kim, Hee Kyung Kim, Mi Soon Song, Soo Yeon Ahn, Kyung Ja Lee, Young Whee Lee, Si Ja Chon, Nam Ok Cho, Myung Ok Cho, Kyung Sook Choi; Journal of Korean Academy of Nursing 2007;37(3):334-342. Published online April 30, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.3.334

Abstract PDF

Purpose

Ego-integrity in older adults is the central concept related to quality of life in later life. Therefore, for effective interventions to enhance the quality of later life, a scale to measure ego-integrity in older adults is necessary. This study was carried out to develop a scale to measure ego-integrity in older adults.

Methods

This study utilized cronbach's alpha in analyzing the reliability of the collected data and expert group, and factor analysis and item analysis to analyze validity.

Results

Seventeen items were selected from a total of 21 items. Cronbach's alpha coefficient for internal consistency was .88 for the 17 items of ego-integrity in the older adults scale. Three factors evolved by factor analysis, which explained 50.71% of the total variance.

Conclusion

The scale for measuring ego-integrity in Korean older adults in this study was evaluated as a tool with a high degree of reliability and validity.

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The Association Between Depression and Death Anxiety Among Older Adults: Moderating Effect of Ego-Integrity
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The effects of ego integrity and readiness for death on the preferences of care near the end-of-life of hospitalized older adults in long-term care hospitals: A cross-sectional correlation study
Jangmi Baek, Jun-Ah Song
Journal of Korean Gerontological Nursing.2023; 25(2): 185. CrossRef
Development of Assessment Tool for Ego-Integrity in Nursing Home Residents
Sun Young Lim, Sung Ok Chang
Journal of Korean Gerontological Nursing.2020; 22(2): 140. CrossRef
Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory
Yeonha Kim, Minju Kim
The Korean Journal of Hospice and Palliative Care.2019; 22(1): 30. CrossRef
Ego-Integrity Management of Residents in Nursing Homes: A Concept Analysis based on the Method by Walker and Avant
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Hyun Jeong Jeong, Sook Hee Yoon
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Korean Older Adults' Perceptions of the Aging Process
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Journal of Gerontological Nursing.2008; 34(5): 36. CrossRef

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Effects of Logotherapy with Exercise on Meaning of Life, Ego Integrity and IADL in the Elderly: Chun Hee Lee; Journal of Korean Academy of Nursing 2006;36(5):701-709. Published online August 31, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.5.701

Abstract PDF

Purpose

The purpose of this study was to examine the effects of ‘Logotherapy with Exercise’ on the meaning of life, ego integrity and IADL's in the Elderly.

Method

This quasi-experimental study was designed for a nonequivalent control group repeated measurement study. This study was done from Oct. 13. 2004 to Dec. 18. 2004. The subjects were between the ages of 65 to 75, who were literate in Korean and able to communicate and participate in physical exercise without any discomfort. The experimental group was 25 subjects and the control group was 26. The 5-week ‘Logotherapy with Exercise’ program was given to the experimental group. Data was analyzed by X², t-test, ANCOVA, ANOVA, and post-hoc comparison by Bonferroni correction with the SPSS/WIN 12.0.

Results

The experimental group had a greater difference in meaning of life, ego integrity and IADL's than the control group. The experimental group had differences in changes in meaning of life, ego integrity and IADL's during time period.

Conclusion

‘Logotherapy with Exercise’ can be recommended as an effective nursing intervention for the elderly.

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The Impacts of a Community Health Practitioner's Ego State, and Interpersonal Attitude on Depression: Sook Lee; Journal of Korean Academy of Nursing 2006;36(3):457-467. Published online June 30, 2006; DOI: https://doi.org/10.4040/jkan.2006.36.3.457

Abstract PDF

Purpose

Community health practitioners (CHP) in Korea have a responsibility for delivering primary health care to remote or isolated communities. The aim of this paper is to analyze CHPs' level of depression and impacts of their Ego state and interpersonal attitude in transactional analysis on depression. This paper gives fundamental data for developing a the program for mental health promotion of CHPs.

Method

The subjects of this study consisted of 459 Korean CHP who were conveniently selected from the target population. The data was collected through interviews using self-administered questionnaires, including the Korean Ego gram and life position inventory and depression scale.

Results

The CHP's Ego gram showed the N type with the top point of NP. The type of interpersonal attitude was I'M OK - YOU'RE OK (I+U++). The level of depression was 35.4, normal range. There was a significant difference in depression according to the duration of the career. There was a significant negative correlation among NP, A, FC ego states, interpersonal OK and depression, and a significant positive correlation between interpersonal Not-OK and depression. The NP, A, FC ego states and interpersonal Not-OK were significant predictors (47.1%) of depression.

Conclusion

This study showed that a program for CHPs to should include increasing the function of ego states and positive interpersonal attitude.

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