| Study on Family Support, Depression and Self-Care Activities of the Aged Hemiarthroplasty Patients |
|
Won Sook Bak |
|
Kyung hee University Dept of Nursing |
| 고관절 부분치 환술 (Hemiarthroplasty) 노인 환자의 가족지지 • 우울 • 자가간호활동에 관한 연구 |
|
박원숙 |
|
경희대학교 간호학과 |
|
|
| Abstract |
|
The purpose of this study is the aged hemiarthroplasty patients to help perform daily living activities independently by analyzing the relation between the family support, a very important environmental factor and the level of depression of the patient themselves, a mental factor and self-care ac tivities in the rehabilitation stages after operation.
The data have been collected from July 10, 1995 through Apr. 10, 1996 by the structured questionaire given and the direct interviews with the 43 aged patients over the age of 65 years old who have been passed 7 days after Hemiarthroplasty operation by the fracture of the hip in K Hospital in Seoul, Korea.
The collected data have been carried out through percentage, t-test, ANOVA, the Pearson Corre lation and Stepwise Multiple Regression Analysis according to the purpose.
The results are as the follows :
1. Hypothesis verification 1st : It has been supported that “the higher the level of family support, the higher the level of self-careactivities"(r—.3804, p<.05).
2nd : It has been rejected that “the higher the level of depression the lower the level of self-care activities".(r=.0920, p>.05).
3rd : It has been supported that “the better the family support, the better the self-care activities and the lower the depression*.(r=.2988, p<.05).
The conclusion was that the better the family support, the better the self-care activities and the lower the depression has been confirmed and the depression has shown not having the effect to the self-care activities. 2. Family support, depression and the level of self-care activities of the patients have been analyzed to have been resulted in average 52.09, comparatively lower in family support level, average 18.49 lower in depression and average 85.56, com paratively lower level in self-care activities.
3. The results of the difference test on the level of family support, depression and self-care activities has shown the significant difference in age (t =2.25, p=.030), religion(F=7.98, p=.001) in case of family support. In other word, the religion of the buddhist patients in the group of 65-74 aged has been much supported by family. In case of depression, there were the significant differences in economic conditions(F=3.53, p=.O39), past occupation(t=2.
15, p=.O37) and it showed that the depression de gree was higher in the group of economically “bad” and past occupation “None”. Contrary, there was no significant difference statistically between the demographic sociological characters and the degree of self-care activities(p>.05).
4. The difference test on family support, depression and the level of self-care activities according to the family and the characters in regard to the desease of the patients has been resulted that there was the significant difference in whether or not living with the spouse (t ==2.07, p=.045) and the number of children(t=-2.49, p=.017). In other word, the family support level was higher in the group with over 4 children and spouse. In case of depression, there was significant difference in whether living or not with the spouse(t= —2.17, p—0.036) and num ber of degree of depression in the group of the patients with the operation experience over 4 — 6 times was higher. In case of self-care activities, there was significant difference in the number of family visit(t=2.24, p=.031), in other word, self-care activities degree was higher in the patients with the number of family visit below per 2 weeks.
5. The result of the analysis of the estimated factors which affect to self-care activities showed that the variables affecting were family support and weekly family visit frequency by which we could predict the degree of self-care activities(R 2 =,311, F=9.01, p=,0006).
Through the above results of the tests, the nursing approach has been considered to be necessary to make the patients apply for returning to family system as one of the healthy family, help recover earlier than expected through positive self-care after operation by educating the family members the necessity of family support which has been the cause of depression as the way of efficient nursing arbitration to promote the self-care activities of the patients. |
| Key Words:
The Aged Hemiarthroplasty Patients; Family support; Depression; Self-Care Activity |
|
PDF Links
Full text via DOI
Download Citation
