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4 "Elder abuse"
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Original Articles
Dependency, Abuse, and Depression by Gender in Widowed Elderly
Ok Soo Kim, Kyoung Mi Yang, Kye Ha Kim
Journal of Korean Academy of Nursing 2005;35(2):336-343.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.336
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of dependency and abuse on depression according to gender in widowed elderly.

Method

A convenient sample consisted of 246 widowed elderly who were more than 65 years old in four cities. Data was collected using a structured questionnaire from August to September, 2002. A dependency Scale developed by Ahn (1999) was used to measure the level of dependency. Emotional abuse and physical abuse were measured by 10 items for emotional abuse and 7 items for physical abuse selected out of the Conditions Scale of Elder Abuse. The level of depression was measured by the Geriatric Depression Scale (GDS).The SPSS WIN 11.0 version program was used for data analysis.

Result

In male widowed elderly, dependency affected depression indirectly through emotional abuse. While in female widowed elderly, dependency affected depression directly and affected emotional abuse indirectly.

Conclusion

The study showed that dependency was the most explainable variable on depression in widowed female elderly. Therefore, it dependency should be assessed first in nursing intervention to relieve depression of widowed elderly.

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A Study of Elder Abuse in the Domestic Setting: Coping Strategies and the Consequences of Elder Abuse
Kyoung Mi Yang
Journal of Korean Academy of Nursing 2004;34(6):1047-1056.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.6.1047
AbstractAbstract PDF
Purpose

The purpose of the study was to research how elder abuse affected the abuse results (self-esteem, depression, somatization) through coping strategies.

Method

A convenient sample consisted of 499 subjects from 65 to 85 years old. Data was collected using structured questionnaires from July to August, 2002. The SPSS WIN 10.0 version was used for data analysis.convenient sample consisted of 499 subjects from 65 to 85 years old. Data was collected using structured questionnaires from July to August, 2002. The SPSS WIN 10.0 version was used for data analysis.

Results

The pathway of elder abuse affecting elder's self-esteem was researched by passive coping, emotional abuse, financial abuse, and physical abuse as the variables that directly affected self-esteem. The pathway of elder abuse affecting elder's depression was researched by passive coping, aggressive coping, verbal abuse, and neglect as the variable that directly affected depression. The pathway of elder abuse affecting somatization was researched by neglect, emotional abuse, and aggressive coping as the variables that directly affected somatization.

Conclusion

We should develop a systematized intervention program so that elders can learn positive coping in their abuse circumstance.

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Risk Factors Influencing Probability and Severity of Elder Abuse in Community-dwelling Older Adults: Applying Zero-inflated Negative Binomial Modeling of Abuse Count Data
Mi Heui Jang, Chang Gi Park
J Korean Acad Nurs 2012;42(6):819-832.   Published online December 31, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.6.819
AbstractAbstract PDF
Purpose

This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults.

Methods

This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse.

Results

The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone.

Conclusion

The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.

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Development of a Web-based Education Program for Nurses working in Nursing Homes on Human Rights of Older Adults
Ki-Kyong Kim
J Korean Acad Nurs 2010;40(4):463-472.   Published online August 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.4.463
AbstractAbstract PDF
Purpose

This study was done to develop a web-based education program for nurses working in nursing homes. The focus was on the rights of older adults.

Methods

The program was designed based on the Network-Based Instructional System Design (NBISD) model and was operated and evaluated between July 2007 and June 2008.

Results

Out of nursing records of 40 residents from a nursing home, the final 7 cases were deducted through classification using the Resource Utilization Group (RUG)-III. The data on needs for education was collected from 28 nurses working in 15 nursing homes located in Seoul and Gyeonggi Province, who agreed to complete a self-report questionnaire. A comprehensive review of the literature and two focus groups interviews were used to search for risk factors and guidelines for protection of human rights. The education program was developed based on Kolb's experiential learning model and composed of 5 units, which included content on types of human rights and rights to death with dignity, elder abuse, physical liberty, and self-determination. The program was positively evaluated showing a score of 3.35 (SD=0.37) out of 4.

Conclusion

The educational program developed in this study should promote nurses' sensitivity to the rights of elders and improve nurses' behaviors in protecting the rights of elders residing in nursing homes.

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