A conceptual analysis of subjective health status in frail elderly Korean men

This study seeks to define and examine the concept of subjective health status among the frail elderly Korean men. Using the concept analysis framework by Walker and Avant, 10 articles related to the subjective health status of frail elderly adults were selected for this study. The results of this study indicate that the antecedents are “State of vulnerable health among the seniors aged 65 or elderly” and “Elderly themselves are aware of their current health conditions”. The attributes are “Health promotional behavior”, “Efforts to maintain physical, mental and social well-being” and “Striving to achieve health goals”. The consequences are confirmed as “State where no complications occur” and “Improvement of life satisfaction”. This study is significant in that it clarifies the concept and attributes of frail elderly, reflecting the characteristics and objectives of nursing.

Analysis; Frail elderly; Health; Perception; Korean men

[1] Statistics Korea. Population projection by age group: 2020–2070. 2021. Available at: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA003&vw_cd=MT_ETITLE&list_id=A41_10&scrId=&language=en&seqNo=&lang_mode=en&obj_var_id=&itm_id=&conn_path=MT_ETITLE&path=%252Feng%252FstatisticsList%252FstatisticsListIndex.do (Accessed: 05 October 2023).

[2] Health Insurance Review and Assessment Service. 2017 National health insurance statistical yearbook. 2017. Available at: https://repository.hira.or.kr/bitstream/2019.oak/1332/2/2017%EB%85%84%20%EA%B1%B4%EA%B0%95%EB%B3%B4%ED%97%98%ED%86%B5%EA%B3%84%EC%97%B0%EB%B3%B4.pdf (Accessed: 27 November 2023).

[3] Kang HS, Sung KW. Influence of emotional intelligence and organizational commitment on geriatric nursing practice of nursing in long-term care hospitals. Journal of Korean Gerontological Nursing. 2015; 17: 29–37.

[4] Chen C, Gan P, How C. Approach to frailty in the elderly in primary care and the community. Singapore Medical Journal. 2018; 59: 240–245.

[5] Turner G, Clegg A. Best practice guidelines for the management of frailty: a British Geriatrics Society, Age UK and Royal College of General Practitioners report. Age and Ageing. 2014; 43: 744–747.

[6] Tazkarji B, Lam R, Lee S, Meiyappan S. Approach to preventive care in the elderly. Canadian Family Physician. 2016; 62: 717–721.

[7] Sieliwonczyk E, Perkisas S, Vandewoude M. Frailty indexes, screening instruments and their application in Belgian primary care. Acta Clinica Belgica. 2014; 69: 233–239.

[8] Fried LP, Cohen AA, Xue QL, Walston J, Bandeen-Roche K, Varadhan R. The physical frailty syndrome as a transition from homeostatic symphony to cacophony. Nature Aging. 2021; 1: 36–46.

[9] Masel MC, Graham JE, Reistetter TA, Markides KS, Ottenbacher KJ. Frailty and health related quality of life in older Mexican Americans. Health and Quality of Life Outcomes. 2009; 7: 70.

[10] Park JS, Oh YJ. Factors influencing empowerment of customized home visiting health care services beneficiaries. Journal of Korean Public Health Nursing. 2012; 26: 491–503.

[11] Ebrahimi Z, Wilhelmson K, Moore CD, Jakobsson A. Frail elder’ experiences with and perceptions of health. Qualitative Health Research. 2012; 22: 1513–1523.

[12] Taci DY, Yılmaz S, Arslan İ, Fidancı İ, Çelik M. The evaluation of frailty in the elderly and affecting biopsychosocial factors: a cross-sectional observational study. Iranian Journal of Public Health. 2023; 52: 159–165.

[13] Kim JH. Concept analysis of frail elderly based on Walker and Avant’s method. Journal of Korea Academia-Industrial Cooperation Society. 2019; 20: 394–405.

[14] Moon SS, Lee SB. A study of health behavior through comparative analysis of self-perceived health condition and health examination results. Journal of Korean Society for Health Education and Promotion. 2001; 18: 11–36.

[15] Park JK, Kim SL. Factors affecting the elderly’s frailty among the vulnerable social group. Journal of the Korean Gerontological Society. 2014; 34: 441–456.

[16] Walker LO, Avant KC. Strategies for theory construction in nursing. 4th edn. Pearson/Prentice Hall: Boston. 2005.

[17] Hwang YH, Park SJ. A concept analysis of compliance in kidney transplant recipient including compliance with immunosuppressive medication. Journal of Korean Biological Nursing Science. 2020; 22: 23–35.

[18] Song GH. A study on the status and gates of teacher librarians’ frail vocational presence in Korea. Journal of Korean Library and Information Science Society. 2010; 41: 317–337.

[19] Monde C. Subjective health and subjective well-being. In Michalos AC (ed.) Encyclopedia of quality of life and well-being research (pp. 6423–6426). 1st edn. Springer: Dordrecht. 2014.

[20] Kwon SM, Kwon RW, Lee HR. The Influence of depression and perceived health status on health promotion behavior of community dwelling frail elderly. Journal of the Korea Academia-Industrial Cooperation Society. 2020; 21: 742–751.

[21] Jung SK, Yu SA, Lee SY. The correlation study between developmental disability and weak symptoms. The Journal of Pediatrics of Korean Medicine. 2012; 26: 25–34.

[22] Shin SH, Kim HS. The intervention effects of the Clean Diet program on the health promotion attitudes and the physiological indices of an elderly. Journal of the Korea Academia Industrial Cooperation Society. 2016; 17: 495–509.

[23] Lima-Costa MF, Steptoe A, Cesar CC, De Oliveira C, Proietti FA, Marmot M. The influence of socioeconomic status on the predictive power of self-rated health for 6-year mortality in English and Brazilian older adults: the ELSA and Bambui cohort studies. Annals of Epidemiology. 2012; 22; 644–648.

[24] Ware JE. Standards for validating health measures: definition and content. Journal of Chronic Diseases. 1987; 40: 473–480.

[25] Oh YH, Bae HO, Kim YS. A Study on physical and mental function affecting self-perceived health of elderly persons in Korea. Korea Gerontological Society. 2006; 26: 461–476.

[26] Song MS, Boo S. Effects of a nurse-led multicomponent intervention for frail elderly adults living alone in a community: a quasi-experimental study. BMC Nursing. 2022; 21: 20.

[27] Lantz PM, House JS, Mero RP, Williams DR. Stress, life events, and socioeconomic disparities in health: results from the Americans’ changing lives study. Journal of Health and Social Behavior. 2005; 46: 274–288.

[28] Gu MO, Eun Y, Kim ES, Ahn HR, Kwon IS, Oh HS, et al. Effects of an elder health promotion program using the strategy of elder health leader training in senior citizen halls. Journal of Korean Academy of Nursing. 2012; 42: 125–135. (In Korean)

[29] Park JM, Kim CS, Kim MW. A path analysis on factors-depression, level of health status, physical function, and regular exercise-influencing health related quality of life according to sex in community dwelling elderly. Journal of Korean Public Health Nursing. 2016; 30: 337–348.

[30] Lippi G, Mattiuzzi C, Sanchis-Gomar F. Updated overview on interplay between physical exercise, neurotrophins, and cognitive function in humans. Journal of Sport and Health Science. 2020; 9: 74–81.

[31] Pilleron S, Le Goff M, Ajana S, Helmer C, Pérès K, Dartigues JF, et al. Self-rated health and frailty in older adults from the population-based three-city Bordeaux cohort. Gerontology. 2022; 68: 755–762.

[32] Hesselink G, Zegers M, Vernooij-Dassen M, Barach P, Kalkman C, Flink M, et al. Improving patient discharge and reducing hospital readmissions by using Intervention Mapping. BMC Health Services Research. 2014; 14: 389.

[33] Kwon SM, Park JS. The effect of health promotion program for frail elderly adults residents on health promoting behavior and health status. Journal of the Korea Adult Nursing. 2013; 25: 194–206.

[34] Park JS, Oh YJ. Health promotion behavior, perceived health status, social participation and empowerment in frail elderly adults receiving home visiting services. Journal of Korean Public Health Nursing. 2017; 31: 244–256.

[35] Kim JH, Yang HM, Kang PR, Choi JE. Self-rated health of frail elders. Journal of Korean Gerontological Nursing. 2015; 17: 98–107.

[36] Chang KO. Effects of elderly people’s frail prevention program on subjective health condition, depression, physical fitness and quality of life for in Senior Center Participation of the Elderly. Journal of the Korea Academia-Industrial cooperation Society. 2017; 18: 47–58.

[37] Park JS, Oh YJ. Predictors and frailty level in the frail elderly adults receiving home visiting health care services. Korean Society for Rural Medicine and Community Health. 2016; 41: 129–139.

[38] Kim GM, Yang JG, Park HT. The effect of a IoT-based exercise program using on cognitive function and physical function in the mild cognitive impairment. Korean Journal of Sports Science. 2019; 28: 1343–1351. (In Korean)

[39] Jing Z, Jagadish KC, Shaozhen J, Lina M, Xiaojuan D, Piu C. Poor self-perceived health is associated with frailty and prefrailty in urban living elderly adults: a cross-sectional analysis. Geriatric Nursing. 2020; 41: 754–760.

[40] To TL, Doan TN, Ho WC, Liao WC. Prevalence of frailty among community-dwelling older adults in Asian countries: a systematic review and meta-analysis. Healthcare. 2022; 10: 895.

[41] Lawton MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multi-level assessment instrument. Journal of Geronotology. 1982; 37: 91–99.

[42] Speake DL, Cowart ME, Pellet K. Health perceptions and lifestyles of the elderly. Research in Nursing & Health. 1989; 12: 93–100.

[43] Rolfson DB, Majumdar SR, Tsuyuki RT, Tahir A, Rockwood K. Validity and reliability of the Edmonton Frail Scale. Age and Ageing. 2006; 35: 526–529.

[44] Choi YH, Kim NY. The effects of an exercise program using a resident volunteer as a lay health leader for elders’ physical fitness, cognitive function, depression, and quality of life. Journal of Korean Academy of Community Health Nursing. 2013; 24: 346–357.

[45] Ernstsen L, Nilsen SM, Espnes GA, Krokstad S. The predictive ability of self-rated health on ischaemic heart disease and all-cause mortality in elderly women and men: the Nord-Trondelag Health Study (HUNT). Age and Ageing. 2011; 40: 105–111.

[46] Noh JW, Kim J, Yang Y, Park J, Cheon J, Kwon YD. Body mass index and self-rated health in East Asian countries: comparison among South Korea, China, Japan, and Taiwan. PLOS ONE. 2017; 12: e0183881.

[47] Chang HT, Hsu NW, Chen HC, Tsao HM, Lo SS, Chou P. Associations between body mass index and subjective health outcomes among older adults: findings from the Yilan study, Taiwan. Taiwan. International Journal of Environmental Research and Public Health. 2018; 15: 2645.

[48] Franceschi C, Garagnani P, Parini P, Giuliani C, Santoro A. Inflammaging: a new immune-metabolic viewpoint for age-related diseases. Nature reviews. Endocrinology. 2018; 14: 576–590.