Journal of Korean Academy of Nursing

Original Articles

Scale Development on Health Conservation of the Institutionalized Elderly: Ki Wol Sung; Journal of Korean Academy of Nursing 2005;35(1):113-124. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.113

Purpose

The purpose of this study was to develop a health conservation scale with high validity and reliability for institutionalized elderly.

Method

The process of development of this scale was as follows. A conceptual framework composed of 4 phases of health conservation of institutionalized elderly was identified based on the literature review with elderlies and discussions with experts in health conservation. A total of 75 items, on a 4-point scale were developed. Through reliability testing and factor analysis, 57 preliminary items were selected. By means of internal consistency of the 57 items, 18 items whose inner-items correlation coefficient was below .40 were deleted. Through factor analysis, 2 items whose factor loading was below .40 were deleted. Finally 37 items remained. To verity the 37 items, factor analysis, reliability testing, and correlation was done. Data were collected from 207 institutionalized elderly subjects in Daegu, Kyungpook, Busan, and KyungNam Province from August. 2003 to February. 2004.

Result

In the result of factor analysis of the 37 items, 4 factors were extracted. These factors were labeled as ‘ personal integrity’, ‘ conservation of energy’, ‘ structural integrity’, and ‘ social integrity’. These factors included 4 phases of health conservation. Cronbach's Alpha of 37 the items was .9424 and the correlation coefficient of HPLP was .723.

Conclusion

The researchers recommend the following: An explorative study on the variables related to health conservation is needed for criterion validity of this scale. Studies on health conservation of different age groups, and subjects are needed for verification.

Citations

Citations to this article as recorded by

Factors affecting life satisfaction among retired older adults
Minkyung Gu, Jakyung Yu, Sohyune Sok
Frontiers in Public Health.2025;[Epub] CrossRef
Subjectivity study on health conservation of elderly hemodialysis patients
Eunji Yim, Mijin Yun, Sohyune Sok
BMC Geriatrics.2024;[Epub] CrossRef
Influences of Social Support, Self-esteem and Hope on Health Conservation of the Vulnerable Elderly with Diabetes
Kiwol Sung, Ji-Hyeon Park, Mi Kyung Park
Journal of Korean Academy of Community Health Nursing.2017; 28(4): 386. CrossRef
Effects of Peer Mentoring Program on the Health Conservation in Elderly Women with Osteoarthritis
Jiran Nam, Kiwol Sung
Journal of Korean Academy of Community Health Nursing.2017; 28(3): 227. CrossRef
Effects of Health Status and Health Management on Activities of Daily Living among Urban-Dwelling Older Koreans
Myung Sill Chung, Kyung-Choon Lim, Yeon Ha Kim
The Journal of Korean Academic Society of Nursing Education.2016; 22(1): 72. CrossRef
The Effects of Elderly Diabetes Mellitus Patients' Self-care Behavior and Health Conservation on Cardiovascular Risk Factors
Kiwol Sung
Journal of Korean Academy of Community Health Nursing.2015; 26(2): 150. CrossRef
Influence of Frailty, Nutritional Status, Positive Thinking and Family Function on Health Conservation of the Elderly at Home
Hae Kyung Chang
Korean Journal of Adult Nursing.2015; 27(1): 52. CrossRef
Factors Affecting Highly Educated Elders' Diabetic Health Leader Attitude
Kiwol Sung, Jiran Nam, Mijin Yu
Journal of Korean Academy of Community Health Nursing.2014; 25(2): 119. CrossRef
Pain, Wisdom and Health Conservation in Older Adults with Chronic Diseases
Kiwol Sung
Journal of Korean Gerontological Nursing.2014; 16(1): 85. CrossRef
Uncertainty in Elderly Women with Osteoarthritis: Relationship to Pain, Self-care Agency and Health Conservation
Jiran Nam, Kiwol Sung
Journal of Korean Gerontological Nursing.2014; 16(3): 201. CrossRef

157 View
0 Download
10 Crossref

Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings-: Hyun-Sil Kim, Young-Mi Jung, Hung-Sa Lee; J Korean Acad Nurs 2009;39(5):741-750. Published online October 31, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.5.741

Abstract PDF

Purpose

The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized.

Methods

A cross-sectional, nation-wide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed.

Results

1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals.

Conclusion

The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

Citations

Citations to this article as recorded by

Longitudinal trends in schizophrenia among older adults: a 12-year analysis of prevalence and healthcare utilization in South Korea
Jung Su Park, Sangwan Kim, Jeong Pil Choi, Mi-Sook Kim, Yu Sang Lee, Eun-Jeong Joo, Yong Sik Kim, Joongyub Lee, Se Hyun Kim
Schizophrenia.2025;[Epub] CrossRef
Prevalence of Suicidal Behaviors in Residents of Long-Term Care Facilities: A Systematic Review and Meta-Analysis
Syeda Beenish Bareeqa, Syeda Sana Samar, Yasir Masood, Mustafa M. Husain
OMEGA - Journal of Death and Dying.2023;[Epub] CrossRef
Estudo das publicações científicas (2002-2017) sobre ideação suicida, tentativas de suicídio e autonegligência de idosos internados em Instituições de Longa Permanência
Maria Cecília de Souza Minayo, Ana Elisa Bastos Figueiredo, Raimunda Matilde do Nascimento Mangas
Ciência & Saúde Coletiva.2019; 24(4): 1393. CrossRef
Life experiences of elderly people with suicide ideation at the long‐term care hospitals in South Korea
Ok Sun Kim, Sohyune R. Sok
International Journal of Nursing Practice.2017;[Epub] CrossRef
Predictive Factors associated with Death of Elderly in Nursing Homes
Kiwol Sung
Asian Nursing Research.2014; 8(2): 143. CrossRef
The Influences of Swallowing Function on Swallowing-Quality of Life and Activity of Daily Living of Inpatients in Geriatric Hospital
Ji-Young Baek, Keun-Bae Oh
The Korean Journal of Health Service Management.2013; 7(1): 167. CrossRef
The Long-term Care Utilization of the Elderly with Dementia, Stroke, and Multimorbidity in Korea
Boyoung Jeon, Soonman Kwon, Hongsoo Kim
Health Policy and Management.2013; 23(1): 90. CrossRef
Development and Evaluation of a Dysphagia Assessment Tool and an Intervention Program for the Elderly in the Long-Term Care Facilities
Chi-Young Kim, Young-Mi Lee, Eun-Ho Ha
Journal of the Korea Academia-Industrial cooperation Society.2012; 13(2): 685. CrossRef
Cognitive Function and Activity of Daily Living of Older Adults Using Long-term Care Service
Hyun-Sook Chang, Hung Sa Lee
Korean Journal of Health Policy and Administration.2012; 22(4): 522. CrossRef

202 View
1 Download
9 Crossref

First
Prev
Page of 1
Next
Last

Search