PURPOSE
This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly.
METHODS
This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression.
RESULTS
Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly.
CONCLUSION
The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.

Citations

• Influence of Advance Directives' Self-efficacy of Community-dwelling Older Adults on the Completion of Advance Directives: Mediating the Effect of Intention for Advance Directives: A Cross-Sectional Study
  Hyun Sook Kim, Gye Jeong Yeom
  Journal of Korean Gerontological Nursing.2022; 24(2): 133.     CrossRef
• Factors influencing intention to use life-sustaining treatment of community-dwelling older adults using the 2020 national survey of older Koreans: Secondary analysis research
  Yun Hee Hwang, Hye Jung Jun, Hye-Ryeon Park
  Journal of Korean Gerontological Nursing.2022; 24(4): 424.     CrossRef
• Influence of Older Person's Ego Integrity and Knowledge of Advance Directives on their Attitude toward Withdrawal from Life-sustaining Treatment
  Eun Yi Yeom, Kum Sook Seo
  Journal of Korean Gerontological Nursing.2019; 21(3): 173.     CrossRef

PURPOSE
This study is to examine how dementia day care service affects fatigue, depression and life satisfaction of caregiver. METHODS: The study was conducted using a convenient sampling method from 6 Dementia Day Care Center in Incheon. Thirty nine primary caregivers answered the questionnaires. Pre-test was done before demented elders start using the dementia day care center and post-test was done five months after. Data were analyzed by using descriptive statistics and paired t-test. RESULTS: There was a significant difference in caregivers' fatigue level after using dementia day care service(t=2.188, p=.035). Results of subcategories were as follows; There was a significant difference in caregivers' physical fatigue level(t=2.270, p=.029) and psychological fatigue level(t=2.277, p=.029) after using dementia day care service. However, there was not significant difference in caregivers' neurological fatigue level(t=1.312, p=.197). There was a significant difference in caregivers' depression level(t=3.066, p=.004) and life satisfaction(t=-2.131, p=.040) after using dementia day care service. CONCLUSION: The results indicated that dementia day care service is helpful for family with demented elders. Therefore it is necessary to expand dementia day care center in terms of its size and numbers in order to support increasing number of demented elders and their families.

PURPOSE
This study was conducted to evaluate life satisfaction(LS) and to assess the factors that influence LS in senior center elderly people.
METHODS
The subjects were 253 elders who visited the Y city Senior Welfare Center between July 2006 and August 2006. Data were collected using structured questionnaires. The instruments were composed of Kang's Family Support Scale, Depression Scale by Sheikh & Yesavage, Laffery's Health Concept Scale, and LS scale by Choi. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program.
RESULTS
The LS level showed a maximum score of 38 with a mean score of 23.23. The mean scores for depression, health perception and family support were 5.52(maximum score, 15), 77.46(maximum score, 112), 43.45(maximum score, 55) respectively. The LS were significantly correlated with health perception, depression and family support. Depression was the most powerful predictor of and it accounted for 42.0% of the total variance in LS. A combination of significance of eudaimonistic health perception and satisfaction with pocket money accounted for 47.2% in LS.
CONCLUSION
Depression and health perception were identified as affecting variables for the LS. Based upon these results, nurses should help the aged to enhance their LS.

PURPOSE
The purpose of this study is to examine the relationship between the living arrangement, life satisfaction and depression in the elderly. METHOD: The subjects consisted of 371 elderly who has at least one adult child classifying two groups(living with children and not living with children). The data were collected by a structured questionnaire that included general characteristics, Geriatric Leisure Activity Scale, Geriatric Life Satisfaction Scale, Geriatric Depression Scale, from March to December, 2004. The collected data were analyzed by SPSS program including descriptive statistics, chi2-test, t-test, Pearson Correlation Coefficient and Hierarchical Regression. RESULT: In hierarchical regression, the elders who live with their children showed more life satisfaction than elders who lived by themselves. However, living arrangement showed no effect on the level of depression of the elderly parents. Significant leisure activity interaction effect was found on the depression among the elderly: The elderly with no leisure activity reported lower levels of depression when they lived with their adult child. CONCLUSION: It is necessary to explore further the various relationship among living arrangement and life satisfaction of the elderly, their preferences and expectations regarding inter-generational obligations and living arrangements.

PURPOSE
This study was to identify factors that influence the life satisfaction of solitude elderly. METHOD: The subject were 100 homebound the elderly living alone(age=76.58) who were live in M city located in Jeollanamdo. Data were collected from June 1 to September 30, 2002. The instrument used for this study were a survey of general characteristics, residential environment, MUNSH, Health Self-rating scale, ADL, loneliness and POMS. The data was analyzed using descriptive statistics, t-test, and stepwise Multiple Regression. RESULT: In general the perceived health status was poor, but ADL was moderate., loneliness was high but mood and life satisfaction were low. In regression analysis, life satisfaction was significantly influenced by mood(51%), ADL(4%), loneliness(3%), and perceived health status(1%). These variables explained 59% of the variances in the life satisfaction.CONCLUSION: The result suggests that health care professionals should give more attention to helping the elderly raise their life-satisfaction. A further study is necessary to find out an effective nursing intervention for a better those in a comfortable residential environment, decreasing the loneliness and to promoting the mood for those elderly who live alone.

PURPOSE
The purpose of this study was to investigate the relationship between depression and life satisfaction of the middle aged man.
METHOD
The study was designed as a descriptive correlation study. Data were collected using a structured questionnaire which included general characteristics, depression, and life satisfaction. Data collection was done between Oct. 28 and Nov. 28 on the 145 middle aged man.
RESULT
The degree of depression of the subjects was 8.98 and life satisfaction was 10.52 on the average. About 8% of the subjects was included in the depression group. There was a negative correlation between depression and life satisfaction of the subjects and it was statistically significant.
CONCLUSION
Therefore, it should be developed the nursing program for qualitative life of middle aged man.

PURPOSE
This study is designed to develop a health promotion program for improvement of health status by means of a change of life-style and health behavior in the elderly. The purpose of this study is to provide a basis for nursing intervention strategies to promote health behaviors.
METHOD
The health promotion program consisted of health education, group discussion, emotional support, health and telephone counsel. As a quasi-experimental design, the none-quivalent control group pretest-posttest design was utilized for this study. The subjects of this study consisted of 50 people, over 60 years of age attending 2 senior colleges in S city. They were divided into two groups: 24 in the experimental group and 26 in the control group. Data was collected from July 2, 2001 to August 21, 2001. For the analysis, SPSS PC 10.0 Window version was adopted and descriptive analysis, x2-test, t-test, paired t-test, MANOVA were used for data analysis.
RESULT
The health behavior and life satisfaction of the elderly improved significantly (F=18.305, p=.000 ; F=17.478, p=.000). But there is no significant difference in the perceived health status(F=3.807, p=.057).
CONCLUSION
The health promotion program is confirmed as proper to promote the health in the elderly. In addition, assessment and support will be simultaneously done to manage the health of the elderly. Finally this study supports intervention for the elderly and provides a basis for further investigations.

The purpose of the study was to investigate the effects of social support on loneliness and life satisfaction in elderly Korean Immigrants living in the U.S.A. The sample consisted of 174 community-dwelling elderly Korean Immigrants who lived in a large Midwestern city area. Telephone interviews were used to collect the data using translated Korean version of the Social Support Questionnaire 6, Revised UCLA Loneliness Scale, and the Life Satisfaction Index-Z. A descriptive level correlational design was used in this study. Results indicated that the subjects had on the average of two to three emotional supporters. The mean score of social support satisfaction was between fairly and a little satisfaction on the scale. The mean score of loneliness was 42.60, indicating that the subjects were moderately lonely. the mean score of life satisfaction was 12.94, indicating that the subjects were moderately satisfied with their life. In this study, social support variables( network size and satisfaction ) had both a direct effect on life satisfaction and an indirect effect through loneliness. Elderly Korean immigrants who had the large number of people in their network were less lonely and thus more satisfied with their life than those who had the small number of people in their network. also, elderly Koreans who were more satisfied with social support were less lonely and thus more satisfied with their life than those who were less satisfied with social support. Social support satisfaction was a better predictor for loneliness and life satisfaction than social network size.