독거 당뇨병 노인의 외로움이 자살사고에 미치는 영향에 대한 우울의 매개효과 검증: 2차 자료 분석
The Mediating Effects of Depression on Loneliness and Suicidal Ideation in Elderly Living Alone with Diabetes Mellitus: A Secondary Data Analysis
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구는 독거 당뇨병 노인의 자살사고를 분석하고 자살사고와 외로움, 우울의 연관성을 규명하는 것이 목적이다. 본 연구는 O 지역의 독거노인을 대상으로 한 전수조사 자료를 활용하여 2차 자료 분석을 통해 수행되었다. 본 연구 대상자는독거노인 중 당뇨병을 진단받은 466명이었다. 본 연구의 자료는 SPSS 26.0 프로그램을 이용하여 서술통계, t-test, Pearson’s correlation coefficients, 다중선형회귀분석 및 Baron과 Kenny의 3단계 매개효과 검증 절차를 활용하여 분석하였다. 대상자의 평균 외로움 점수와 평균 우울 점수는 각각 4.52±3.30, 4.88±4.03으로 나타났으며, 자살사고가 있다고 응답한 대상자는 27.3%이었다. 대상자의 외로움(β=.20, p =.005)과 우울(β=.30, p <.001)은 자살사고를 예측하는 유의한 요인으로 나타났다. 또한 외로움과 자살사고의 관계에서 우울은 부분 매개하는 것으로 나타났다. 본 연구 결과를 통해 외로움과 우울은 독거당뇨병 노인의 자살사고와 관련된 중요한 요인으로 나타났다. 또한 독거 당뇨병 노인의 자살사고를 개선하기 위해서는 외로움 및 우울의 수준을 낮추는 중재가 필요하다.
Abstract
The purpose of this study is to analyze suicidal ideation of elderly people with diabetes living alone and to investigate the relationship between suicidal ideation, loneliness, and depression. This study was conducted through secondary data analysis using total survey data for the elderly living alone in O province. The subjects of this study were 466 elderly people who were diagnosed with diabetes among the elderly living alone. The data of this study were analyzed using descriptive statistics, t-test, Pearson's correlation coefficients, multi-linear regression analysis, and the three-step mediating effect verification procedure of Baron & Kenny using the SPSS 26.0 program. The average loneliness score and average depression score of the subjects were 4.52±3.30 and 4.88±4.03, respectively, and 27.3% of the subjects said they had a suicidal ideation. The subject's loneliness (β=.20, p =.005) and depression (β=.30, p <.001) was found to be a significant factor in predicting suicide ideation. In addition, depression was found to be partially mediated in the relationship between loneliness and suicidal ideation. Through the results of this study, loneliness and depression were found to be important factors related to suicidal ideation in the elderly with diabetes living alone. In addition, in order to improve suicidal ideation in the elderly with diabetes living alone, intervention to lower the level of loneliness and depression is necessary.
참고문헌 (27)
- A. Izzo, "A narrative review on sarcopenia in type 2 diabetes mellitus: prevalence and associated factors", Nutrients, 13(1), pp.183~ (2021)[DOI]
- D. LeRoith, "Treatment of diabetes in older adults : an Endocrine Society clinical practice guideline", The Journal of Clinical Endocrinology & Metabolism, 104(5), pp.1520~1574 (2019)[DOI]
- G. Sesti, "Management of diabetes in older adults", Nutrition, Metabolism and Cardiovascular Diseases, 28(3), pp.206~218 (2018)[DOI]
- J. M. McCaffery, "Loneliness relates to functional mobility in older adults with type 2 diabetes : the Look AHEAD Study", Journal of aging research, 2020, pp.8~ (2020)[DOI]
- Korea National Health and Nutrition Examination Survey, "KDCA", Korea Disease Control and Prevention Agency, ~ (2020)
- R. M. AbdElmageed, "Risk of Depression and Suicide in Diabetic Patients", Cureus, 14(1) (2022)[DOI]
- D. Corno, "Loneliness and functional limitations among older adults with diabetes: Comparing directional models", Journal of Psychosomatic Research, 154, pp.110740~ (2022)[DOI]
- K. D. Barnard-Kelly, "An intolerable burden: suicide, intended self-injury and diabetes", Canadian journal of diabetes, 44(6), pp.541~544 (2020)[DOI]
- HH. J. Yoo, "Study of hospitalization and mortality in Korean diabetic patients using the diabetes complications severity index", BMC Endocrine Disorders, 20(1), pp.1~10 (2020)[DOI]
- W. M. Sweileh, "Analysis of global research output on diabetes depression and suicide", Annals of general psychiatry, 17(1), pp.1~13 (2018)[DOI]
- M. Markle-Reid, "Community Program Improves Quality of Life and Self-Management in Older Adults with Diabetes Mellitus and Comorbidity", Journal of the American Geriatrics Society, 66(2), pp.263~ (2018)[DOI]
- Y. Ma, "Relationship between chronic diseases and depression : the mediating effect of pain", BMC psychiatry, 21(1), pp.1~11 (2021)[DOI]
- Five-Year(‘13~‘17) National Suicide Death Analysis Results Report, "KFSP", KOREA FOUNDATION FOR SUICIDE PREVENTION, ~ (2021)
- 김선미, "전 ․ 후기노인의 자살생각 위험요인: 10차 한국의료패널 자료를 이용하여", 노인간호학회지, 22(4), pp.281~290 (2020), 한국노인간호학회[DOI]
- 이교민, "당뇨병 노인 환자의 자가간호역량, 가족지지,우울이 삶의 만족도에 미치는 영향", 노인간호학회지, 22(4), pp.326~334 (2020), 한국노인간호학회[DOI]
- L. Rodriguez-Mañas, "Effectiveness of a multimodal intervention in functionally impaired older people with type 2 diabetes mellitus", Journal of Cachexia, Sarcopenia and Muscle, 10(4), pp.721~733 (2019)[DOI]
- 정진영, "지역사회 거주 노인의 신체적 건강문제가 자살생각에 미치는 영향", 대한보건연구, 43(4), pp.59~72 (2017), 사단법인 대한보건협회[DOI]
- 이승우, "독거노인의 외로움에 영향을 미치는 위험요인", 정신신체의학, 27(2), pp.173~180 (2019), 한국정신신체의학회
- 봉은주, "보건진료소를 이용하는 농촌노인의 상실감과 자살생각과의 관계: 우울의 매개효과", 농촌의학.지역보건, 45(1), pp.1~12 (2020), 한국농촌의학.지역보건학회
- E. Kobos, "Factors associated with loneliness in patients with diabetes mellitus", Nursing Open, 8(1), pp.517~524 (2021)[DOI]
- D. Corno, "Loneliness and functional limitations among older adults with diabetes : Comparing directional models", Journal of Psychosomatic Research, 154, pp.110740~ (2022)[DOI]
- S. Gujral, "Late-Onset Suicide: A Dementia Prodrome?", American Journal of Geriatric Psychiatry, 29(7), pp.709~ (2021)[DOI]
- 강문희, "농촌지역에 거주하는 독거 당뇨병 노인의 자살사고 관련 요인", 산업융합연구, 20(10), pp.79~86 (2022), 대한산업경영학회
- E. C. Huskisson, "Measurement of pain", Lancet, 2(9), pp.1127~1131 (1979)
- B. S. Kee, "A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version", Journal of Korean Neuropsychiatric Association, 35(2), pp.298~307 (1996)
- The Survey of Living Conditions and Welfare Needs of Older Korean Persons, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2020)
- 2020 the Korean Elderly Survey, "Ministry of Health and Welfare & KOREA INSTITUTE FOR HEALTH AND SOCIAL AFFAIRS", KIHASA, ~ (2020)