J Korean Acad Community Health Nurs.  2019 Jun;30(2):206-216. 10.12799/jkachn.2019.30.2.206.

Impediment in Activity of Daily Living and Social Support for Rural Elderly Farmers Undergoing Nerve Block due to Low Back Pain

  • 1QI Team Manager, Jinan Hospital, Jinan, Korea.
  • 2Associate Professor, College of Nursing, Woosuk University, Wanju, Korea. msyellow45@hanmail.net


This study is to investigate the low back pain, social support, impediment in daily living activities and to identify factors affecting impediment in elderly farmer' daily living activities.
The participants were 128 elderly farmers who had received nerve block. Data were collected using a structured questionnaire from February to March, 2018. They were analyzed using t-test, ANOVA, pearson's correlation coefficient, and linear multiple regression.
The score of low back pain was 6.27±1.69 (10 points), that of social support 2.92±0.76 (1~5 points), and that of impediment in activity of daily living 2.01±0.82 (0~5 points). Factors affecting impediment in activity of daily living were found to include age (p=.017), daily hours of farm work (p<.001), fear for the nerve block (p<.001), low back pain (p<.001), and social support (p<.001); the explanatory power of these variables was 58.8%.
This study has found the controllable factors affecting impediment in activity of daily living among the rural elderly engaging in farm work include low back pain, social support, and daily farming hours. Therefore, to reduce impediment in activity of daily living among them, it is necessary to develop nursing interventions that can improve impediment in activity of daily living through reduction of daily farming hours using local resources. It is also desirable to improve their health status by reducing low back pain, and develop and apply social supports with health education programs that fit the local resources and the needs of the rural elderly.


Activities of daily living; Low back pain; Social support; Aged; Farmers

MeSH Terms

Activities of Daily Living
Health Education
Low Back Pain*
Nerve Block*


1. Statistics Korea. 2017 Report of Elderly statistics [Internet]. Daejeon: Statistics Korea;2017. cited 2018 February 23. Available from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=363362&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=2017+%EA%B3%A0%EB%A0%B9%EC%9E%90%ED%86%B5%EA%B3%84.
2. Statistics Korea. 2015 Survey on agriculture, forestry and fishery [Internet]. Daejeon: Statistics Korea;2015. cited 2018 May 23. Available from http://kostat.go.kr/portal/korea/kor_nw/2/7/2/index.board?bmode=read&bSeq=&aSeq=356324&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt.
3. Korea Centers for Disease Control and Prevention. Spinal stenosis [Internet]. Cheongju: Korea Centers for Disease Control;2016. cited 2019 January 23. Available from: http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo/View.do?idx=4200Korean Academy of Medical Sciences.
4. Lee SE. A study on the relationship among pain, disability and quality of life of the elderly with chronic back pain [master's thesis]. [Seoul]: Chung-Ang University;2011. 67.
5. Lee CG. Work-related musculoskeletal disorders in Korean farmers. Journal of the Korean Medical Association. 2012; 55(11):1054–1062.
6. Nho JS. The effect of aging of rural population on technology innovation and income polarization. Research Report. Seoul: Seoul National University;2014. 01. Report No.: PJ009139.
7. Joung EO, Kwon SB, Ahn OH. Coping with experiences in multiple chronic diseases in the Rural Elderly. Journal of Korean Academy of Community Health Nursing. 2007; 18(1):32–41.
8. Ha SW, Suh YO. Use of the complementary and alternative therapies, pain and quality of life in patients with chronic back pain. The Korean Journal of Rehabilitation Nursing. 2008; 11(1):5–12.
9. Choi LS, Jang HJ, Kim SY. Regression analysis of the relationship among the level of pain and dysfunction and psychosocial factors in patients with chronic back pain. Physical Therapy Korea. 2016; 23(1):38–45.
10. Unsworth J, Mode A. Preventing falls in older people: Risk factors and primary prevention through physical activity. British Journal of Community Nursing. 2003; 8(5):214–220. DOI: 10.12968/bjcn.2003.8.5.11200.
11. Smite D, Rudzite I, Ancane G. Sense of social support in chronic patients. Edition Diffusion Press Sciences. 2012; 2:2261–2424. DOI: 10.1051/shsconf/20120200030.
12. Lin CW, McAuley JH, Macedo L, Barnett DC, Smeets RJ, Verbunt JA. Relationship between physical activity and disability in low back pain: A systematic review and meta-analysis. Pain. 2011; 152(3):607–613. DOI: 10.1016/j.pain.2010.11.034.
13. Lee MS. Quality of life, perceived health status, pain, and difficulty of activity of daily living of degenerative arthritis patient in island residents. Journal of Agricultural Medicine and Community Health. 2009; 34(3):291–302. DOI: 10.5393/JAMCH.2009.34.3.291.
14. Jeong HY, Jeong HM. The effects of perceived health status and society support and health promotion behaviors on successful aging of the elderly in rural area. Journal of the Korean Data Analysis Society. 2016; 18(4):2167–2181.
15. Macedo LG, Hum A, Kuleba L, Mo J, Truong L, Yeung M, et al. Physical therapy interventions for degenerative lumbar spinal stenosis: A systematic review. Physical Therapy. 2013; 93(12):1646–1660. DOI: 10.2522/ptj.20120379.
16. Shin DS. The effect of lumbar stabilization exercise on VAS, Oswestry disability index, and daily living fitness in elderly women with chronic low back pain. Korean Journal of Sports Science. 2015; 24(3):1441–1453.
17. Son JT, Park HS. The relationship between perceived family functioning and depression in patients with chronic low-back pain. Journal of Korean Academy of Fundamentals of Nursing. 2000; 7(2):316–331.
18. Scott J, Huskisson EC. Vertical or Horizontal visual analogue scales. Annals of the Rheumatic Diseases. 1979; 38(6):560. DOI: 10.1136/ard.38.6.560.
19. Park JW. A study to development a scale of social support [dissertation]. [Seoul]: Yonsei University;1985. 127.
20. Sherbourne CD, Stewart AL. The MOS social support survey. Social Science & Medicine. 1991; 32(6):705–714.
21. Lim MK, Kim MH, Shin YJ, Yoo WS, Yang BM. Social Support and self-rated health status in an low income neighborhood of Seoul, Korea. Journal of Preventive Medicine and Public Health. 2003; 36(1):54–62.
22. Verbrugge LM, Lepkowski JM, Konkol LL. Levels of disability among U.S. adults with arthritis. Journal of Gerontology. 1991; 46(2):S71–S83. DOI: 10.1093/geronj/46.2.S71.
23. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980; 66(8):271–273.
24. Lim HS, Jeong MS, Kim SK, Lee JM. Evaluation and prevention of the occupational low back pain. 1997 Occupational Health Report. Ulsan: Korean Occupational Safety and Health Research Institute.
25. Roh SC. Work-related diseases of agricultural workers in South Korea. Journal of the Korean Medical Association. 2012; 55(11):1063–1069. DOI: 10.5124/jkma.2012.55.11.1063.
26. Korean Center for Disease Control. Information of health and diseases [Internet]. Cheongju: Korean Center for Disease Control;2017. cited 2018,May.28. Available from: http://health.cdc.go.kr/health/HealthInfoArea/HealthInfo/List.do.
27. Ahn OH, Cha HK, Chang SJ, Kim HS, Jang EH. Factors Affecting successful aging in rural elderly people. Journal of Digital Convergence. 2013; 11(11):499–508. DOI: 10.14400/JDPM.2013.11.11.499.
28. Kim SH, Lee ES. The effects of comprehensive education program on anxiety, uncertainty and athletic performance of patients undergo spinal nerve block. Korean Journal of Adult Nursing. 2017; 29(2):143–153. DOI: 10.7475/kjan.2017.29.2.143.
29. Richmond NL, Meyer ML, Hollowell AG, Isenberg EE, Domeier RM, Swor RA, et al. Social support and pain outcome after trauma exposure among older adults: A multi center longitudinal study. The Clinical Journal of Pain. 2018; 34(4):366–374. DOI: 10.1097/AJP.0000000000000545.
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