Influence of Frailty, Nutritional Status, Positive Thinking and Family Function on Health Conservation of the Elderly at Home

Abstract

The purpose of this study was to examine the relationships between frailty, nutritional status, positive thinking, family function, and health conservation and to identify the factors influencing health conservation of the elderly at home. Methods: The research design was a descriptive survey using a convenience sampling. Data were collected from 142 elders using self-reported questionnaires. Data were analyzed using the SPSS/WIN 20.0 program for descriptive statistics, Pearson's correlation coefficients, and multiple linear regression. Results: The average health conservation score was 98.85. There were significant correlations between frailty, nutritional status, positive thinking, family function and health conservation. As a result of the multiple linear regression analysis, positive thinking, perceived health status, spouse and frailty accounted for 69% of the variance in health conservation of the elderly at home. Conclusion: These influencing factors on health conservation can be taken into account in the development of nursing intervention programs for improving health conservation of the elderly at home.

Subjectivity study on health conservation of elderly hemodialysis patients

“…According to Sung [ 9 ], nursing for the elderly should focus on maintaining or preserving the functions of the elderly rather than healing so that their health status does not deteriorate. Conservation should be a prerequisite to health promotion, and health through conservation should be well maintained in order to maintain the health of elderly hemodialysis patients [ 9 , 10 ].…”

“…There have been no studies on people’s various attitudes, values, beliefs, and subjectivity toward health conservation. Many other health conservation studies investigated the relationship between variables and health conservation targeting the elderly and middle-aged women [ 3 – 6 , 9 , 10 ].…”

“…Health conservation enables the elderly to maintain a positive state of well-being while undergoing treatment and maintenance of disease [ 6 , 10 ]. In the case of the elderly with chronic diseases, it is important to preserve their functions so that they can perform daily activities independently rather than simply extending their lifespan or taking a treatment-oriented approach [ 9 ].…”

Influences on the Performance based Frailty of Physical Performance, Exercise Self-efficacy, Decisional Balance, and Health related Quality of Life in Adults Undergoing Hemodialysis

“…[2,14], 신체기능수행능력 저하는 허약 발생에 영향을 미치므로 [6,8] 신체활동에 대한 자 신감을 증가시키고 신체활동을 긍정적으로 인지하도록 돕는 것이 필요하다 [2,14]. 운동효능감은 신체활동을 수행할 수 있 다는 자신감으로 혈액투석 환자의 자가 관리의 효율성을 높이 고 긍정적인 행동 변화에 영향을 주며 [15][16][17][18], 의사결정균형은 운동과 관련된 이익과 손실을 고려한 개인의 인지적 의사결정 으로 특히 긍정적인 의사결정균형은 부정적인 행동변화보다 긍정적인 방향으로 행동변화가 이루어지도록 돕는다 [18][19][20].…”

“…노인의 운동효능감과 긍정적인 의사결정이 높을수록 신체활 동이 증진되었고 [18], 긍정적사고가 높을수록 허약이 낮았으 며 [19], 만성신부전 환자의 허약은 투석전부터 신체적 삶의 질 과 정신적 삶의 질을 낮추는 요인이라는 유용한 보고도 확인하 였다 [21]. 따라서 통합적으로 이들 변수간의 관계를 확인하고 허약 발생에 어느 정도 영향을 미치는지 확인한다면 혈액투석 환자의 신체활동 저하와 관련된 행동을 수정하고 신체활동에 대한 적응력을 높일 수 있으며 [17,18] …”