Journal of Korean Gerontological Nursing 2007;9(2):154-162.
노인의 일상생활활동 및 우울 정도가 자아통합감에 미치는 영향
송민선, 김남초
Abstract
Purpose The purpose of this study was to identify the factors influencing ego-integrity and to investigate levels of ego-integrity,
activities of daily living (ADL), instrumental activities of daily living (IADL), depression and their relationships in the institutionalized and
non-institutionalized elderly.
Method: From July to August 2007, 50 institutionalized elders and 47 non-institutionalized elders were surveyed through structured questionnaires.
Result Ego-integrity of the institutionalized elders was significantly lower than the non-institutionalized elders (p=.001). ADL (p=.001), IADL (p=.001) and depression (p=.001) of the institutionalized elders was
higher than the non-institutionalized elders. ADL and IADL (p=.001), and ADL and depression (p=.023) had significant positive correlations in the institutionalized elders. Ego-integrity and depression (p=.008) had a
significant negative correlation in the non-institutionalized elders. ADL and IADL (p=.001), and ADL and depression (p=.002) had significant positive correlations in the non-institutionalized elders. In multiple linear regression analysis, institutionalization and depression were significantly related to egointegrity.
Conclusion It is necessary to try to enhance ego-integrity, ADL and IADL in the institutionalized elderly. Also, it is more urgent to develop health programs and a health care service system for institutionalized elders than for non-institutionalized elders, but also to develop supports to help elders stay in the community.
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