J Korean Acad Nurs. 2005 Apr;35(2):252-261. Korean.
Published online Mar 28, 2017.
Copyright © 2005 Korean Society of Nursing Science
Original Article

Health Status, Health Perception, and Health Promotion Behaviors of Low-income Community Dwelling Elderly

Tae Wha Lee,1 Il Sun Ko,2 Kyung Ja Lee,3 and Kyeong Hwa Kang4
    • 1College of Nursing, Nursing Policy Research Institute, Yonsei University, Korea.
    • 2College of Nursing, Yonsei University, Korea.
    • 3College of Nursing, Yonsei University, Korea.
    • 4Nursing Policy Research Institute, Yonsei University, Korea.

Abstract

Purpose

The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community.

Method

The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses.

Result

The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, 64.2% of the subjects perceived their health status as ‘ not healthy’. In terms of health promotion behaviors, 77.8% of the subjects had ceased smoking, 83.9% stopped drinking, 56.4% had a regular diet, 45.8% received regular physical check-ups during the past two years, and 66% received flu shots. Approximately 50% of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy.

Conclusion

Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

Keywords
Low-income; Elderly; Health promotion; Health status


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