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Korean Journal of Adult Nursing ((구)Journal of Korean Academy of Adult Nursing)


ISSN  1225-4886 (Print)
Published since 1989
Indexed in SCOPUS, CINAHL, KoreaMed, KoMCI

1995 Korean Journal of Adult Nursing ((구)Journal of Korean Academy of Adult Nursing)ALL

Page 141 ~ 165
제목 도시 빈곤 노인의 건강개념 및 건강행위에 대한 문화기술적 연구
Title An Ethnogaphic Study of Health Concept and Health Behavior in the Urban, Poor Elderly
저자 이영희
Author Lee Young Hee
주요어 건강행위, 건강개념, 도시 빈곤노인
Keyword
File
Health is human-environment interaction throughout life span. The elderly is ever-changing, continuously interacting with their environ-ments. This study described the health concepts and health behavior of the urban, poor elderly. The Purpose of this study was to understand the health concept and health behavior of the urban, poor elderly and contributed to elderly care for quality of life and knowledge development of elderly care. The research question was What is the health concept and health behavior of the urban, poor elders? What is the embedded meaning of health concept and health behavior? This study was conducted an ethnograpic approch. The fieldwork for this study was done from October, 1994 to July, 1995 in K city in Chun Nam. Data collected by indepth interview and participant observation. The result of this study is as follows. Health concept of the urban, poor elderly was composed health concept of body, mind, spirit. The health concept of body emerged possibility of movement, Capacity of good eating, ability of working, acceptance and management of the ill. It means that maintenance of elderly's daily life (especilly without family)requires funtional capacity of body. Movable ability is important for the poor elderly, and then the elderly was ill but healthy, It means pursuit of existential life. The health concept of mind was founded family connection, especilly children (son). It was manifested by solid mind , self-confidence, comfortness. It emerged when they was respected by one's life experience and recognized valuable person, had decision making, power of control about self and environment, and house. The health concept of spirit was prior to existence in present world. But accepted death , met with good death. Good death means that lived until own life after death , spirit seperated from body. It is important that spirit located one's world. The health behavior of the urban, poor elderly was appeared health behavior for health of body, mind, spirit. the health behavior for health of body consisted of health maintenance behavior of body, Bujung (be subjected to the evil coming) prevention and elimination behavior. Health maintenance and symptom alleviation behavior were premised that the elderly is ever-changing. aging. Therefore, they focused health maintenance and protection behavior in order to prevented getting worse. Up to now what the elderly secretly practiced behavior for Bujung elimination means it is embedded in the elderly's thought and belief. The health behavior for health of mind consisted of firmness of mind , establishment one's identity and self respected as an elder, extention of interpersonal network. In our contry, Familism is based on the male line. Therefore, the elderly without children(son) was faced with financial poverty and abscence of interpersonal relations. So, the elderly firmed one's mind, established one's identity as an elder. They formed familiar relations with far relatives and maternal relatives. Members of the same age group in same situation supported, exchanged information each other and lived. The health behavior for health of spirit emerged being of belief life, preparation of death, doing of setting down in spirit world. The elderly wanted continuing life, but they accepted death. They prepared for material and psychological death preparation. Especially, the elderly without son felt uncertainty after death. They wanted succession of the family name, made secure of familiar membership identuty through care of ancestor's spirit by principle of reciprocity. Cultural principles of the health behavior for health of body were pursuitness of existential life, and Yeon (interpersonal relationship of Korean such as the ties of relatives, geographic ties, etc.) relationship. The principles of the health behavior for health of mind were group membership, harmony, and reciprocity. The principle of harmony and reciprocity was changed from seperated, alienated, far related life to harmonized, close related life. The principles of the health behavior for health of spirit were transcendence, group membership, and reciprocity. This study enhances nurse's understanding of the health concept and health behavior of the urban, poor elderly. The finding contributed to nursing knowledge development of elderly care by means of continuing research in other situation.
Page Title Author
141~165 An Ethnogaphic Study of Health Concept and Health Behavior in the Urban, Poor Elderly Lee Young Hee
166~180 The Empirical Validity of Coping Strategy Questionnaire in Korean Patients with Chronic Pain Hur Hea Kung
181~211 A Study on Elderly's Powerlessness Kim Kyung Eun, Choi Young Hee
212~227 A Study of the Effect of an Efficacy Expectation Promoting Program on Self-Efficacy and Self-Care Lee Young Whee
228~244 A Study on the Health Status of the Hospitalized Elderly Choi Gong Ok
245~258 The Effect of Preparatory Information on Uncertainty, Anxiety and Depression of Post Operative Patient with Gastric Cancer Seong Eun Hee, Hong Mi Soon
259~269 Study on the Relationship Between Social Role and Mental-emotional Health of Aged People in Korea Ro Seung Ok
270~278 A Conceptual Analysis to Fatigue Yang Kwang Hee
279~298 The Study on the Content Analysis of Caring, Supporting, Nursing Situation Lee Sook Ja, Chang Sung Ok
299~312 The Factors affecting Quality of Life of Hemodialysis Patients Kim Joo Hyun, Kim Mae Ja