J Korean Acad Soc Nurs Educ.  2016 Feb;22(1):72-82. 10.5977/jkasne.2016.22.1.72.

Effects of Health Status and Health Management on Activities of Daily Living among Urban-Dwelling Older Koreans

  • 1College of Nursing, Sungshin Women's University, Korea. kyungclim@hotmail.com


The purpose of this study was to identify the effects of health status and health management on activities of daily living (ADL) in older, urban-dwelling Koreans.
A total of 206 subjects were recruited from one senior welfare center, six senior citizen centers, and subjects' home in two cities. Data was collected with self-reported questionnaires in order to measure health management, health status, and ADL. Data was analyzed by t-test, ANOVA, and stepwise multiple linear regression using SPSS/WIN 22.0.
ADL in this subject were different depending on their age, education, marital status, type of family, and average monthly living expenses. Multivariate analysis showed that age (beta=-0.35, p<.001), exercise ability (beta=0.20, p<.001), diabetes (beta =-0.17, p<.001), osteoarthritis (beta=-0.15, p<.001), caregiver (beta=0.14, p=.005), frequency of health management (beta =-0.13, p=.006), smoking (beta=-0.11, p=.019), hypertension (beta=-0.10, p=.027), and type of family (beta=-0.10, p=.036) were significantly associated with ADL. Overall, approximately 60.2% of total variability in ADL could be explained by the 11 variables in this model (R2=0.602, F=32.06, p<.001).
This study suggests that individualized health care should be continued for older, community-dwelling Koreans in order to improve their ADL. Moreover, we need to develop self-care programs and encourage them to participate in those programs.


Health status; Health care; Activities of daily living; Aged
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