J Korean Acad Community Health Nurs.  2015 Dec;26(4):355-363. 10.12799/jkachn.2015.26.4.355.

The Relationship among Subjective Health Status, Wisdom, and Self-care Agency in Korean Older Adults

• Yu M
• Kim HJ

• KMID: 2173832
• DOI: http://doi.org/10.12799/jkachn.2015.26.4.355

Abstract

PURPOSE
This study identified the relationships among subjective health status, wisdom, and self-care agency of Korean older adults.
METHODS
The participants were 274 older adults from Daegu, aged over 65 years. Data were collected by visiting two social welfare centers, two senior welfare centers, and nine senior centers in Daegu from January 18 to February 5, 2013. Data were analyzed through one-way ANOVA, independent t-test, Pearson's correlation, and stepwise multiple linear regression using the IBM SPSS/WIN 19.0 statistical program.
RESULTS
A significant positive correlation was found among older adults' subjective health status, wisdom, and self-care agency. Self-care agency was affected by wisdom (47%, beta=.55), the physical component summary (18%, beta=.31) and mental component summary (1%, beta=.12) of subjective health status, and the absence of disease (2%, beta=.13).
CONCLUSION
This study suggests that nursing interventions to promote self-care agency in older adults should be developed based on the characteristics of their subjective health status and wisdom.

Keyword

Self-care; Health status; Aged

MeSH Terms

Adult*
Daegu
Humans
Linear Models
Nursing
Self Care*
Senior Centers
Social Welfare

Reference

References

1. Statistics Korea. The elderly statistics [Internet]. Seoul: Statistics Korea;2012. [cited 2012 September 27]. Available from:. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=260368.

2. Shin DS. The influence of basic conditioning factors on self-care agency of the eldery in community [dissertation]. [Daejeon]: Chungnam National University;2007. p. 116 p.

3. Orem DE. Nursing concepts of practice. 6th ed.St Louis: Mosby, Inc;2001. p. 542 p.

4. Oh MS. The correlation between self-care agency and life satisfaction among elderly in Iksan city [master's thesis]. [Seoul]: Hanyang University;2009. p. 61 p.

5. Nam YH, Nam JR. A study of the factors affecting the subjective health status of elderly people in Korea. Korean Journal of Family Welfare. 2011; 16(4):145–162.

6. Kim HS, Hur JS. A study of influential factors on health promoting behaviors of the elderly: Focusing on senior citizens living in Seoul. Journal of the Korean Gerontological Society. 2010; 30(4):1129–1143.

7. Yang NY, Moon SY. Effects of self-esteem and health status on adaptation of elderly residents in facilities. Journal of Korean Academy of Adult Nursing. 2010; 22(5):552–560.

8. Lee DH. The effects of quality of life in the elderly's health condition. Journal of the Korean Gerontological Society. 2010; 30(1):93–108.

9. Kim MR. Factors of successful aging affecting the life satisfaction of older women. Journal of the Korean Gerontological Society. 2008; 28(1):33–48.

10. Kim MH, Min KH. Age differences of wisdom and its correlation with successful aging among middle-aged and elder adults. Journal of the Korean Gerontological Society. 2010; 30(3):947–971.

11. Kramer DA. Wisdom as a classical source of human strength: Conceptualization and empirical inquiry. Journal of Social and Clinical Psychology. 2000; 19(1):83–101.

12. Linley PA. Positive adaptation to trauma: Wisdom as both process and outcome. Journal of Traumatic Stress. 2003; 16(6):601–610.

13. Ardelt M. Antecedents and effects of wisdom in old age: A longitudinal perspective on aging well. Research on Aging. 2000; 22(4):360–394. http://dx.doi.org/10.1177/016402750022 4003.

14. Ardelt M. Empirical assessment of a three-dimensional wisdom scale. Research on Aging. 2003; 25(3):275–324. http://dx.doi.org/10.1177/0164027503025003004.

15. Sung KW. Relation of successful aging and wisdom in Korean older adults. Journal of Korean Gerontological Nursing. 2011; 13(1):48–57.

16. Kim CG, Jang HJ, Kim SS. The correlation between ability of activity in daily living and self-care agency among elderly in Chunchon province. Journal of Korean Academic Society of Adult Nursing. 2001; 13(1):40–52.

17. Park YJ. The relationship between the self-care capacity and health status of the elderly group of public aid and the other elderly group in a district [master's thesis]. [Gwangju]: Chosun University;2007. p. 56 p.

18. Kim BI. A comparative study of self-esteem, health status and self-care in the rural and urban elderly. Korean Journal of Rehabilitation Nursing. 2004; 7(2):140–148.

19. Webster JD. An exploratory analysis of a self-assessed wisdom scale. Journal of Adult Development. 2003; 10(1):13–22.

20. Ware JE, Kosinski M, Bjorner JB, Turner-Bowker DM, Gan-dek B, Maruish ME. SF-36 health survey: Administration guide for clinical trial investigators. Lincoln, RI: QualityMetric Incorporated;2008. p. 34 p.

21. Sung KW, Lee SY, Park JH. Scale development of wisdom among Korean elderly. Journal of the Korean Gerontological Society. 2010; 30(1):65–80.

22. So HS. Testing construct validity of self-as-carer inventory and its predictors. Journal of Korean Academic Society of Adult Nursing. 1992; 4(2):147–161.

23. Geden E, Taylor S. Construct and empirical validity of the self-as-carer inventory. Nursing Research. 1991; 40(1):47–50.

24. Shim MS. A study on self-esteem, social support and health promoting behavior of the low income elderly. Journal of Korean Gerontological Nursing. 2005; 7(1):63–70.

25. Lee NH, Lim YM, Ahn YH, Kim GY. Effects of perceived health status and ego-integrity on health behavior in community dwelling elders. Korean Society of Nursing Science: The 8th International Nursing Conference. 2011; 10:159.

26. Baik OM. Factors associated with functional health outcomes in community-dwelling older adults: Applying Andersen's revised model. Journal of Community Welfare. 2011; 38:1–27.

27. Erikson EH. Identity and the life cycle. New York: W.W.Norton & Co;1980. p. 191 p.