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Variables Influencing Ego Integrity of the Hospitalized Older Adults

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초록

The purpose of this study was to identify the variables affecting hospitalized older adults individuals’ ego integrity. The survey was conducted through one-on-one interviews by nurses with older adult patients aged 65 and over who were hospitalized in a general hospital from June to August 2022. The variables were included general character istics, physical health, depression, social support, and ego integrity. Descriptive statistics were performed to calculate percentages, means, and standard deviations of variables. T-tests, ANOVA, were used to see the difference of variables based on general characteristics of the older adults. Correlations were also calculated to find out the relationship among variables. The results indicated that social support is the most affective variable for the ego integrity of hospitalized older adult patients, and depression, age, and whether or not the patient had undergone surgery are followed. Specifically, patients who received more social support, experienced lower levels of depression, were older, and had not undergone surgery exhibited higher levels of ego integrity. The study analyzed the factors influencing ego integrity in hospitalized older adult patients through multiple regression analysis, considering age, high est level of education, surgical history, type of health insurance, and the study’s main variables: physical symptoms, depression, and social support as independent variables. The results showed that age, surgical history, depression, and social support significantly affected ego integrity. Given the increased role of healthcare providers due to the implementation of comprehensive nursing care services, social support as a nursing intervention is crucial. Especially in a hospital setting where emotional and informational support is limited, it is important to provide various nursing interventions through social support to help older adult patients achieve ego integrity while maintaining their physical, social, and psycho logical health.

Abstract

The purpose of this study was to identify the variables affecting hospitalized older adults individuals’ ego integrity. The survey was conducted through one-on-one interviews by nurses with older adult patients aged 65 and over who were hospitalized in a general hospital from June to August 2022. The variables were included general character istics, physical health, depression, social support, and ego integrity. Descriptive statistics were performed to calculate percentages, means, and standard deviations of variables. T-tests, ANOVA, were used to see the difference of variables based on general characteristics of the older adults. Correlations were also calculated to find out the relationship among variables. The results indicated that social support is the most affective variable for the ego integrity of hospitalized older adult patients, and depression, age, and whether or not the patient had undergone surgery are followed. Specifically, patients who received more social support, experienced lower levels of depression, were older, and had not undergone surgery exhibited higher levels of ego integrity. The study analyzed the factors influencing ego integrity in hospitalized older adult patients through multiple regression analysis, considering age, high est level of education, surgical history, type of health insurance, and the study’s main variables: physical symptoms, depression, and social support as independent variables. The results showed that age, surgical history, depression, and social support significantly affected ego integrity. Given the increased role of healthcare providers due to the implementation of comprehensive nursing care services, social support as a nursing intervention is crucial. Especially in a hospital setting where emotional and informational support is limited, it is important to provide various nursing interventions through social support to help older adult patients achieve ego integrity while maintaining their physical, social, and psycho logical health.

참고문헌 (42)

  1. Berk, L., "Development through the lifespan" (2018), Pearson Education, Inc
  2. Borgohain, L., "Prevalence of depression and its impact on perceived social support in elderly hospitalized patients : A cross-sectional hospital-based study", Journal of Medical Science and Clinical Research, 6(10), pp.1087~1094 (2018)
  3. Brimavandi, M., "Examining the relationship between depression and medication adherence among elderlies suffering from cardiovascular disease referring to the clinics affiliated with Kermanshah University of Medical Sciences:A cross-sectional study", Health Science Report, 6(8), pp.1503~ (2023)
  4. Bueno-Pacheco, A., "Ego-integrity and its relationship with sense of coherence, satisfaction, self-efficacy, and depression", Current Psychology, 42, pp.6439~6446 (2023)
  5. Chang, S. O., "Development of a scale to measure Korean ego-integrity in older adults", Journal of Korean Academy of Nursing, 37(3), pp.334~342 (2007)
  6. Cho, M. J., "Validation of Geriatric Depression Scale, Korean Version(GDS)in the assessment of DSM-III-R major depression", Journal of Korean Neuropsychiatric Association, 38(1), pp.48~63 (1999)
  7. Choi, H. I., "The effect of self-esteem and social support on relationship between elderly’s stressful life events and hopelessness", Korean Journal of Gerontological Social Welfare, 43, pp.183~202 (2009)
  8. Choi, Y. H., "A study on the development of physical health assessment tool and health status of Korean elderly", The Journal of Korean Academic Society of Adult Nursing, 3, pp.70~96 (1990)
  9. Cohen, S., "Positive events and social supports as buffers of life change stress", Journal of Applied Social Psychology, 13, pp.99~125 (1983)
  10. Dasgupta, M., "Cognitive impairment in hospitalized seniors", Geriatrics, 1(1), pp.4~ (2016)
  11. Erikson, E., "Childhood and society" (1950), Norton
  12. Evensen, S., "Physical activity among hospitalized older adults-an observational study", BMC Geriatrics, 17(1), pp.110~ (2017)
  13. Ha, M., "Effects of different types of perceived social support on changes in subjective health among older adults : A focus on gender differences", Journal of Korean Gerontological Nursing, 23(4), pp.323~332 (2021)
  14. 전정아, "노인의 자아통합감 영향요인에 관한 연구 : 사회적 지지와 우울을 중심으로", 석사, 사회사업학, pp.2006
  15. Jeong, H. J., "The influencing factors on the ego integrity of elderly living alone", Journal of Korean Academic Society of Nursing Education, 21(4), pp.499~508 (2015)
  16. Jeong, H. S., "Mutual reciprocal relationship between ego integrity and depression in elderly : Multidimensional influencing factors", Korean Journal of Academy of Nursing, 27(3), pp.262~272 (2015)
  17. Just, S. A., "Loneliness in elderly patients", Psychiatric Quarterly, 93(4), pp.1017~1030 (2022)
  18. Kang, M. H., "A study on social support and happiness in old age : Focusing on gender differences", Journal of Social Quality Research, 4(2), pp.47~70 (2020)
  19. Kim, E. J., "Converged factors influencing ego integrity of community dwelling elderly", Journal of the Korea Academia-Industrial Cooperation Society, 19(8), pp.160~166 (2018)
  20. Kim, H. K., "Factors influencing the ego integrity of elders living alone", Journal of Korean Gerontological Nursing, 11(2), pp.204~215 (2009)
  21. Kim, H. Y., "Physical function and ego-integrity in frail and non-frail elders in a local community", Journal of Korean Gerontological Nursing, 16(1), pp.27~37 (2014)
  22. Kim, J., "Predictive relationships between depression and health status, physical function, and social support of elders in rural areas", Journal of Korean Gerontological Nursing, 16(3), pp.231~241 (2014)
  23. Kim, J. M., "Subjective memory impairment, cognitive function, and depression : A cross-sectional study in a community dwelling elderly population", Journal of Korean Neuropsychiatric Association, 41(4), pp.706~712 (2002)
  24. A study on ego integrity and quality of life on the elderly, "Kim, J. S.", Ulsan College, 259~277 (1999)
  25. Kim, S. Y., "Relationship among pain, depression and ego integrity in day care center elderly peoples with chronic pain", Journal of Korean Gerontological Nursing, 5(1), pp.50~60 (2003)
  26. Kim, Y. I., "The effect of social support of elderly people using welfare center on happiness : Mediating effect of self-efficacy", Korean Journal of Gerontological Social Welfare, 72(4), pp.217~238 (2017)
  27. Ko, H. C., "Understanding the different types of social support offered by audience to a-list diary-like and informative bloggers", Cyber Psychology, Behavior, and Social Networking, 16(3), pp.194~199 (2013)
  28. Lee, D., "The effect of social support on aging anxiety : Double mediation effect of depression and coping on elderly", Korean Journal of Gerontological Social Welfare, 72(2), pp.323~348 (2017)
  29. Lee, H. Y., "Factors influencing depressive symptom based on the type of care for older adults living at home", Korea Society of Nursing Research, 8(2), pp.1~12 (2024)
  30. Lee, S. S., "The stress, social support and psychological well-being of the elderly", The Korean Gerontological Society, 22(1), pp.1~20 (2002)
  31. Martin, P., "Defining successful aging : A tangible or elusive concept", The Gerontologist, 55(1), pp.14~25 (2015)
  32. Min, J. H., "Effect of social engagement on self-rated health trajectory among Korean older adults", Health and Social Welfare Review, 33(4), pp.105~123 (2013)
  33. Park, H., "The relationship among social support, powerlessness, and quality of life in the hospitalized elderly", Journal of Korean Academy of community Health Nursing, 1(1), pp.5~15 (1999)
  34. Puvill, T., "Impact of physical and mental health on life satisfaction in old age : A population based observational study", BMC Geriatrics, 16, pp.194~ (2016)
  35. Ryan, M., "The relationship between loneliness, social support, and decline in cognitive function in the hospitalized elderly", Journal of Gerontological Nursing, 24(3), pp.19~27 (1998)
  36. Seo, H. A., "Social support and depression between admitted elder and home elder", Chungnam Medical Journal, 23(2), pp.179~190 (1996)
  37. 송미순, "노인의 생활기능상태 예측모형 구축", 박사, 간호학, pp.1991
  38. Song, M. S., "Effects of activities of daily living and depression on the ego-integrity in elders", Journal of Gerontological Nursing, 9(2), pp.154~162 (2007)
  39. van der Kaap-Deeder, J., "The role of ego identity and despair in older adults’ well-being during the COVID-19crisis : the mediating role of need-based experiences", European Journal of Ageing, 19(1), pp.117~129 (2022)
  40. Yesavage, J. A., "Development and validation of geriatric depression screening scale : A preliminary report", Journal of Psychiatric Research, 17, pp.37~49 (1982)
  41. Yoon, K. A., "An analysis of the moderating effect of hope on the relationship between social support and psychological well-being among older adults living alone with basic care services", Korean Journal of Gerontological Social Welfare, 72(2), pp.9~33 (2017)
  42. Zanjari, N., "The influence of providing and receiving social support on older adults’ well-being", Clinical Practice &Epidemiology in Mental Health, 18, pp.e174501792112241~ (2022)

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