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KMID : 0388519970090020107
Nursing Science - Ewha Womans University
1997 Volume.9 No. 2 p.107 ~ p.121
A Study of the Self-Esteem, Powerlessness and Psychosocial Adjustment in Hospitalized Eldely Patients


Abstract
This study was designed to identify degree of self-esteem, powerlessness, and psychosocial adjustment and to investigate the relationship among them.
The purpose of this study was to promote quality of life on the base of understanding of self-esteem, powerlessness, psychosocial adjustment in hospitalized elderly patients.
The tool for self-esteem was the Self-Esteem Scale developed by Rosenberg(1965), and the tool for powerlessness was the Powerlessness Behavioral Assessment Tool (Miller, 1992), and the tool for perceived psychosocial adjustment was the Psychosocial Adjustment Scale(Derogatis, 1983) base on PAIS, but except 6 items about sexual life.
Data was analyzed by the S.A.S. computer program and included descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient.
The conclusion of this study are summerized as follows;
1. The mean score of self-esteem was 28.62(SD= 4.64) in a range of 7 to 39, and the mean score of powerlessness was 35.02(SD= 9.24) in a range of 2 to 64, t.nd the mean score of psychosocial adjustment was 98.68 (SD = t 14.91) in a range of 19 to 132.
2. There was a significant negative between self-esteem and powerlessness (r=-0.25,p=0.017). In other words, the heigher the degree of self-esteem, the lower the degree of powerlessness.
3. There were significant difference statistically in the degree of self-esteem according to the perceived personality (t = -2.24, p=0.028) and in the degree of powerlessness according to marital status(F=3.86,p=0.012), admission experience(t=2.91, p=0.004) and previous used method to treat disease(F=3.45,p=0.004). Especially, among elderly women there was significant difference statistically according to the job (t=2.47, p=0.017). Also, there was significant difference statistically in the degree of psychosocial adjustment according to the marital status(F=15.38, p =0.0001).
Based on these conclusions, futher study is suggested to discover variable factors influencing the self-esteem, powerlessness, and psychosocial adjustment. Also, a study is required to identify the repeated research on the correlation among these three concepts in the hospitalized elderly.
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