J Korean Acad Nurs.  2008 Feb;38(1):1-10. 10.4040/jkan.2008.38.1.1.

Evaluation of Cognitive Functions, Depression, Life Satisfaction among the Elderly Receiving Visiting Nursing Services

• Won JS
• Kim KH

• KMID: 1405633
• DOI: http://doi.org/10.4040/jkan.2008.38.1.1

Abstract

PURPOSE: The purpose of this study was to examine cognitive functions, depression, and life satisfaction among the elderly receiving visiting nursing services. METHODS: The subjects of this study consisted of 221 elderly individuals who were receiving visiting nursing services from a public health center located in Gyeonggi-do. The Mini-mental State Examination Korea version (MMSE-K), Geriatric Depression Scale-short form-Korea version (GDS-K), and Life Satisfaction Scale were utilized to determine cognitive functions, depression, and life satisfaction. Collected data was analyzed by the SPSS PC Win 12.0 program. RESULTS: The prevalence of cognitive impairment (MMSE-K< or =24) was 86.4%, and the proportion of severe depression (GDS-K> or =10) was 22.6%. Older age, lower education, and low income were associated with cognitive impairment, and low education, no religion, and low income were associated with depression. Cognitive function negatively correlated with depression. Life satisfaction level was fairly low and was not associated with any variables. CONCLUSION: The high prevalence of cognitive impairment and low life satisfaction status were determined among low-income elderly who were registered at a visiting health care center. Thus, in the future at visiting health care services, efficient and various programs for the elderly should be tried, to improve cognitive functions and reduce depression. Additionally, consistent evaluation studies for those programs will be required.

Keyword

Visiting nurse; Cognitive aspects; Depression; Satisfaction

MeSH Terms

Aged
Aged, 80 and over
Cognition Disorders/*epidemiology
Community Health Nursing/organization & administration
Depression/*epidemiology
Female
Humans
Male
Middle Aged
*Personal Satisfaction
Quality of Life
Questionnaires

Reference

1. Anderson DM, Keith J, Novak PD, Elliott MA. Dorland's illustrated medical dictionary. 1994. 28 ed.Philadelphia, WB: Saunders Co..

2. Aneshensel CS, Wight RG, Miller-Martinez D, Botticello AL, Karlamangla AS, Seeman TE. Urban neighborhoods and depressive symptoms among older adults. J Gerontol B Psychol Sci Soc Sci. 2007. 62(1):S52–S59.

3. Battle J. Relationship between self-esteem and depression. Psychol Rep. 1978. 42:745–746.

4. Brands AM, Van den Berg E, Manschot SM, Biessels GJ, Kappelle LJ, De Haan EH, et al. A detailed profile of cognitive dysfunction and its relation to psychological distress in patients with type 2 diabetes mellitus. J Int Neuropsychol Soc. 2007. 13:288–297.

5. Budh CN, Osteraker AL. Life satisfaction in individuals with a spinal cord injury and pain. Clin Rehabil. 2007. 21(1):89–96.

6. Cheon EY. Effects of ADL, self-efficacy and social support on life satisfaction in elders with visual loss. J Korean Gerontol Nurs. 2005. 7:195–204.

7. Cho SH, Ha YS. Analysis of psychiatric home care implemented by psychiatric-mental health nurse practitioners. J Korean Acad Psychiatr Ment Health Nurs. 2003. 12(1):76–87.

8. Cho KW. The study on the degree of life-satisfaction of the female single aged. J Welfare. 2002. 17(1):85–125.

9. Choi HJ. Depression and cognitive function of the elderly using the welfare facilities for the aged in the community. J Korean Acad Public Health Nurs. 2006. 20:119–129.

10. Choi SJ. A study on the development of Life satisfaction Scale for elderly. Korean Cul Res. 1986. 49:233–258.

11. Folstein MF, Folstein SE, McHugh PR. "Minimental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975. 12:189–198.

12. Gatz JL, Tyas SL, St John P, Montgomery P. Do depressive symptoms predict Alzheimer's disease and dementia? J Gerontol A Biol Sci Med Sci. 2005. 60:744–747.

13. HwangBo SJ, Kim HR. Prevalence of chronic disease and visiting nurse services according to disease for low income urban elders using the health center. J Korean Gerontol Nurs. 2003. 5:228–239.

14. Joo AR, Park SH. The relationship between cognitive function and depression in elderly people in rural areas. J Korean Gerontol Nurs. 2004. 6(1):27–37.

15. Kee BS. A preliminary study for the standardization of Geriatric Depression Scale Short Form-Korea Version. J Korean Neuropsychiatr Assoc. 1996. 35:298–307.

16. Kim HS, You SJ, Han KR. The relation of cognitive function, physical health, self-esteem, social support and depression of elderly women in the community. J Korean Gerontol Nurs. 2002. 4:163–175.

17. Kim MA, Kim HS, Kim EJ. Cognitive function and depression in the elderly. J Korean Gerontol Nurs. 2005. 7:176–184.

18. Ko IS, Lee TW, Lee KJ, Lee CY, Lim MH, Cheon EY, et al. Analysis of health problems of low-income home care elderly at a urban-rural composite area. J Korean Gerontol Nurs. 2005. 7:136–147.

19. Kwon YC, Park JH. Korean version of Mini-mental State Examination (MMSE-K)-Part I: development of the test for the elderly. J Korean Neuropsychiatr Asso. 1989. 28(1):125–135.

20. Latimer HE, Cumming RG, Lewis R, Carrington S, Le Couteur DG. Sleep disturbances and falls in older people. J Gerontol A Biol Sci Med Sci. 2007. 62(1):62–66.

21. Lee JR, Hong HS. Effects of aromatherapy and foot reflex massage on stress, depression, and sleep pattern of the institutionalized elderly. J Korean Biol Nurs Sci. 2005. 7:17–30.

22. The guide of Visiting Health Care operation. Ministry of Health & Welfare. 2002. Retrieved form www.mohw.go.kr.

23. The start of health investment by visiting public health centers. Ministry of Health & Welfare. 2007. Retrieved form www.mohw.go.kr.

24. Moon MJ. Analysis on the structural model of life satisfaction for elderly home residents. J Korean Gerontol Nurs. 2004. 6:202–215.

25. Neugarten BL, Havighurst RJ, Tobin SS. The measurement of life satisfaction. J Gerontol. 1961. 16:134–143.

26. Park JH. A study on the life satisfaction of seniors in commercial welfare facilities for elderly. 2006. Seoul: Catholic University;Unpublished master's thesis.

27. Schmutte T, Harris S, Levin R, Zweig R, Katz M, Lipton R. The relation between cognitive functioning and selfreported sleep complaints in nondemented older adults: results from the Bronx aging study. Behav Sleep Med. 2007. 5(1):39–56.

28. Sheikh JI, Yesavage JA. Brink TL, editor. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontology: a guide to assessment and intervention. 1986. New York: The Harwoth Press;165–173.

29. Won JS, Kim JH. Influencing factors on cognitive function and depression in elderly. J Korean Acad Psych Ment Health Nurs. 2003. 12:148–154.