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Relationships among Pain, Depression, Health behavior, and Activities of Daily Living in Older Adults after Femur Fracture Surgery

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KMID : 0123520150220010001
½Å¼ø½Ä ( Shin Soon-Sik ) - »ï¼ºÃ¢¿øº´¿ø

Àº¿µ ( Eun Young ) - °æ»ó´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: The purpose of this study was to explore the relationships among pain, depression, health behaviors, and activities of daily living (ADL) in older adults after femur fracture surgery.

Methods: This was a descriptive correlational study. Ninety seven outpatients aged 65 or older were selected, who agreed to participate and visited the four hospitals located in G providence. Numeric Rating Scale (NRS) for pain, a Short form Geriatric Depression Scale (SGDS) for depression, health behavior scale and Korean version of Bathel Index for ADL were used. Data were analyzed using t-test and ANOVA,Pearson¡¯s correlation and the hierarchical regression analysis in SPSS 18.

Results: Pain and depression were positively correlated (r=.35, p<.001). Pain and health behaviors (r=-.30, p=.010), pain and ADL (r=-.21, p=.044), depression and health behaviors (r=-.51, p<.001), depression and ADL (r=-.29, p=.004) were negatively correlated. The variables affecting the ADL was intake of a painkiller or not (¥â=-.32), age (¥â=-.25), transitional period after discharge (¥â=.23) and depression (¥â=-.23). ADL was accounted for 33.4% in total by these four variables.

Conclusion: Interventions for alleviating pain, and managing depression would be effective in enhancing ADL in older adults after femur fracture surgery.
KeyWords
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Pain, Depression, Health behavior, Activities of daily living, Femur fracture surgery
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