Korean J Adult Nurs.  2017 Jun;29(3):246-255. 10.7475/kjan.2017.29.3.246.

Influence of Social Support and Illness Perception on Depression among Hospitalized Older Adults Prior to Discharge from an Acute Care Hospital

Affiliations
  • 1Legal Affairs Team, Asan Medical Center, Seoul, Korea.
  • 2School of Nursing, Hanyang University, Seoul, Korea. ysshin2k@hanyang.ac.kr

Abstract

PURPOSE
This study was designed to identify factors affecting depression among hospitalized older adults prior to discharge from an acute care hospital.
METHODS
This descriptive study included adults aged 65 or older who were hospitalized in a general hospital in Seoul, Korea. Depression was measured by the Short Form Geriatric Depression Scale and illness perception was evaluated by the Brief Illness Perception Questionnaire. Social support was examined using the Perceived Geriatric Social Support Scale. Data were collected from August 25 to October 12, 2015. Data analysis included descriptive statistics, independent t-test, Kruskal-Wallis test, Pearson's correlation coefficient, and hierarchical multiple regression.
RESULTS
Among a total of 120 participants, 57 patients (47.5%) experienced depression. Mean depression score was 7.37±3.67. Depression was associated with illness perception (r=.53, p < .001), social support (r=-.19, p=.043), number of admission due to the recurrence (r=.31, p=.001), and time to recognize discharge plan (r=.25, p=.044). In hierarchical multiple regression, illness perception (β=.45, p < .001) and time to recognize discharge plan (β=.21, p=.039) were predictors of depression (F=7.68, p < .001, Adjusted R²=.38).
CONCLUSION
The findings of this study suggest that management of illness perception and timely notice of discharge are important to reduce depression in hospitalized elderly patients.


MeSH Terms

Adult*
Aged
Depression*
Hospitals, General
Humans
Korea
Patient Discharge
Recurrence
Seoul
Statistics as Topic

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Reference

1. Korea National Statistical Office. Statistics of aged in 2015 [Internet]. Seoul: Korea National Statistical Office;2015. Cited 2015 September 24. Available from: http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=348566&pageNo=&rowNum=10&amSeq=&sTarget=&sTxt=.
2. Centers for Disease Control & Prevention. Chronic disease status in 2015 [Internet]. Seoul: Centers for Disease Control & Prevention;2015. Cited 2015 September 30. Available from: http://www.cdc.go.kr/CDC/notice/CdcKrIntro0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0011&fid=21&q_type=writer&q_value=%EB%A7%8C%EC%84%B1%EC%A7%88%ED%99%98%EA%B4%80%EB%A6%AC%EA%B3%BC&cid=65017&pageNum=1.
3. Jeong KH, Oh YH, Kang EN, Kim JH, Seonwu D, Oh MA, et al. 2014 National survey on older adults in 2014. National Survey Report. Seoul: Ministry of Health and Welfare, Korea Institute for Health and Social Affairs;2014. 12. Report No.;2014-61.
4. Health Insurance Review and Assessment Service. 2014 Depression statistics [Internet]. Seoul: HIRA;2014. updated 2015 August 19. cited 2016 July 22. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA030502030000&ilnsCtgyNm=sixtyAge&sortSno=46.
5. Um IS. Study on the effect of the elderly's living stress and social support on depression. J Public Welf Adm. 2012; 22(1):73–90.
6. Kim JI, Choe MA, Chae YR. Prevalence and predictors of geriatric depression in community-dwelling elderly. Asian Nurs Res. 2009; 3(3):121–129.
Article
7. Yeo Y, Yoo EK. The relationship among depression, self-esteem and ADL in the case of the hospitalized elderly patients with chronic disease. J Korean Acad Adult Nurs. 2010; 22(6):676–686.
8. Aalto AM, Heijmans M, Weinman J, Aro AR. Illness perceptions in coronary heart disease sociodemographic, illnesselated and psychosocial correlates. J Psychosom Res. 2005; 58(5):393–402.
9. Kim JH, Kim KB. Comparative study of perceived health status, self-esteem, depression, and life satisfaction between institutionalized elders and elders living home. J Korean Gerontol Nurs. 2008; 10(2):182–192.
10. Petrie KJ, Weinman J. Why illness perceptions matter. Clin Med (Lond). 2006; 6(6):536–539.
Article
11. Botha-Scheepers S, Riyazi N, Kroon HM, Scharloo M, Houwing-Duistermaat JJ, Slagboom E, et al. Activity limitations in the lower extremities in patients with osteoarthritis: the modifying effects of illness perceptions and mental health. Osteoarthritis Cartilage. 2006; 14(11):1104–1110.
Article
12. Broadbent E, Wilkes C, Koschwanez H, Weinman J, Norton S, Petrie KJ. A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychol Health. 2015; 30(11):1361–1385.
Article
13. Yoon GB, Jee YJ, Kim YJ. The factors related to depression of the elderly patients in four geriatric hospital located in B metropolitan city. J Korean Acad Adult Nurs. 2010; 22(6):561–569.
14. Marcantonio ER, McKean S, Goldfinger M, Kleefield S, Yurkofsky M, Brennan TA. Factors associated with unplanned hospital readmission among patients 65 years of age and older in a medicare managed care plan. Am J Med. 1999; 107(1):13–17.
Article
15. Song MS. Construction of a functional status prediction model for the elderly [dissertation]. Seoul: Seoul National University;1991.
16. Weinman J, Petrie KJ, Moss-Morris R, Horne R. The Illness Perception Questionnaire: a new method for assessing the cognitive representation of illness. Psychol Health. 1996; 11(3):431–445.
Article
17. Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006; 60(6):631–637.
Article
18. Yesavage JA, Sheikh JI. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986; 5(1-2):165–173.
19. Kee BS. A preliminary study for the standardization of Geriatric Depression Scale short form-Korea version. J Korean Neuropsychiatr Assoc. 1996; 35(2):298–307.
20. Lee SE, Kim BH. Predictors of depression in community dwelling older women living alone. J Korean Gerontol Nurs. 2016; 18(1):1–11.
Article
21. Bauer M, Fitzgerald L, Haesler E, Manfrin M. Hospital discharge planning for frail older people and their family. Are we delivering best practice. A review of the evidence. J Clin Nurs. 2009; 18(18):2539–2546.
Article
22. Cho WJ, Choi MN, Kim SS, Cho EH. Effect of social support and depression on self-care of older adults receiving percutaneous coronary intervention. J Korean Gerontol Nurs. 2010; 12(2):119–130.
23. Kim JY. A comparison of social support, depression, and quality of life in adults and elders who have undergone coronary artery bypass surgery. J Korean Gerontol Nurs. 2014; 16(3):210–219.
24. Seong YS, Lee YW. Relationship of illness perception, self-efficacy, and self-care among pulmonary tuberculosis patients. Korean J Adult Nurs. 2011; 23(1):31–39.
25. Choi EH. Structural equation modeling of health behaviors in patients with coronary artery disease based on the Coping Model of Chronic Illness [dissertation]. Seoul: Seoul National University;2012.
26. Edwards R, Suresh R, Lynch S, Clarkson P, Stanley P. Illness perceptions and mood in chronic fatigue syndrome. J Psychosom Res. 2001; 50(2):65–68.
Article
27. Peterson JC, Allegrante JP, Pirraglia PA, Robbins L, Lane P, Boscheert KA, et al. Living with heart disease after angioplasty: a qualitative study of patients who have been successful or unsuccessful in multiple behavior change. Heart Lung. 2010; 39(2):105–115.
Article
28. Li N, Chen G, Zeng P, Pang J, Gong H, Han Y, et al. Prevalence of depression and its associated factors among Chinese elderly people: a comparison study between community-based population and hospitalized population. Psychiatry Res. 2016; 243:87–91.
Article
29. Garnefski N, Kraaij V. Do cognitive coping and goal adjustment strategies used shortly after myocardial infarction predict depressive outcomes 1 year later. J Cardiovasc Nurs. 2010; 25(5):383–389.
Article
30. Schroevers M, Kraaij V, Garnefski N. How do cancer patients manage unattainable personal goals and regulate their emotions. Br J Health Psychol. 2008; 13(3):551–562.
Article
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