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독거 노인의 삶의 질에 영향을 주는 요인

Quality of Life and Related Factors in Elderly People Who Live Alone

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주제분류정신과학

초록

Objectives:The aim of this study was to examine the physical, psychological and social factors influencing quality of life of the elderly living alone in Daegu. Methods:A stratified random cluster sample of 625 community-dwelling old people living alone in Daegu completed a questionnaire through face-to-face interview. Quality of life was evaluated using the World Health Organization quality of life-brief(WHOQOL-BREF) questionnaire. Depression was measured using the geriatric depression scale short form-Korea(GDSSF-K). The other data including sociodemographic characteristics, emotional and economical support, perceived health status and activity of daily living were collected. The data were analyzed using independent t-test, ANOVA, multiple regression analysis to evaluate the relationship between quality of life and other variables. Results:Subjects were composed of 107 male(17.1%) and 518 female(82.9%) and their mean age was 75.5 (SD= 5.8). Multiple regression analysis showed that quality of life was significantly associated with depression, psychiatric illness, educational level, income level, presence of caregiver, and whether living alone was a voluntary decision. Depression was the most influential factor affecting quality of life. Participants suffering more severe depression had lower quality of life. Conclusion:Present study suggested that the quality of life in the elderly living alone should be recognized in a multiple perspective ways considering psychosocial approach as well as clinical symptoms. We also would like to emphasize the comprehensive multidisciplinary team approach for improvement of the quality of life in elderly people who live alone.

Abstract

Objectives:The aim of this study was to examine the physical, psychological and social factors influencing quality of life of the elderly living alone in Daegu. Methods:A stratified random cluster sample of 625 community-dwelling old people living alone in Daegu completed a questionnaire through face-to-face interview. Quality of life was evaluated using the World Health Organization quality of life-brief(WHOQOL-BREF) questionnaire. Depression was measured using the geriatric depression scale short form-Korea(GDSSF-K). The other data including sociodemographic characteristics, emotional and economical support, perceived health status and activity of daily living were collected. The data were analyzed using independent t-test, ANOVA, multiple regression analysis to evaluate the relationship between quality of life and other variables. Results:Subjects were composed of 107 male(17.1%) and 518 female(82.9%) and their mean age was 75.5 (SD= 5.8). Multiple regression analysis showed that quality of life was significantly associated with depression, psychiatric illness, educational level, income level, presence of caregiver, and whether living alone was a voluntary decision. Depression was the most influential factor affecting quality of life. Participants suffering more severe depression had lower quality of life. Conclusion:Present study suggested that the quality of life in the elderly living alone should be recognized in a multiple perspective ways considering psychosocial approach as well as clinical symptoms. We also would like to emphasize the comprehensive multidisciplinary team approach for improvement of the quality of life in elderly people who live alone.

참고문헌 (24)

  1. "Population projections for Korea: 2015~2065(Based on the 2015 population census)"[URL]
  2. Jung KH, "Official Report of the national survey on elderly population 2014" (2014), Korea Institute for Health and Social Affairs
  3. You KS, "Comparison of health status between senior people living alone and those who live with their families", J Korean Gerontol Soc, 23, pp.163~179 (2003)
  4. 배숙경, "독거노인의 삶의 질에 대한 일상생활수행능력의 영향 및 우울의 매개효과 검증", 보건사회연구, 32(4), pp.5~30 (2012), 한국보건사회연구원
  5. Oleson M, "Subjectively perceived quality of life", J Nurs Scholarsh, 22, pp.187~190 (1990)
  6. Solomon R, "Trajectories of quality of life in older persons with advanced illness", J Am Geriatr Soc, 58, pp.837~843 (2010)
  7. Oh YH, "Old person’s quality of life and policy implications" (2005), Korea Institute for Health and Social Affairs
  8. Netuveli G, "Quality of life at older ages: evidence from the English longitudinal study of aging(wave 1)", J Epidemiol Community Health, 60, pp.357~363 (2006)
  9. Fassino S, "Quality of Life in dependent older adults living at home", Arch Gerontol Geriatr, 35, pp.9~20 (2002)
  10. 고보선, "제주노인의 주관적 삶의 질에 관한 연구", 한국노년학, 23(1), pp.1~12 (2003), 한국노년학회
  11. 안경숙, "노인부부가구·노인독신가구의 사회적 지지가 삶의 질에 미치는 요인에 관한 연구", 한국노년학, 25(1), pp.1~20 (2005), 한국노년학회
  12. Bae JN, "Development of the Korean version of the geriatric depression scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
  13. Min SK, "Development of Korean version of WHO Quality of Life Scale Abbreviated Version(WHOQOL-BREF)", J Korean Neuropsychiatr Assoc, 39, pp.571~579 (2000)
  14. 박순미, "노인의 생활만족도 변화에 대한 종단적 접근 ; 인구사회학적 변인을 중심으로", 사회과학연구, 25(3), pp.1~24 (2009), 사회과학연구소
  15. 백경숙, "노년기의 경제활동과 여가활동 유형에 따른 심리적 복지감 연구", 노인복지연구, (35), pp.87~106 (2007), 한국노인복지학회
  16. Jung IH, "Effects of health status on the life satisfaction of the elderly living alone", pp.2012
  17. 장유리, "노년기 자기 통제감에 영향을 주는 요인", 한국노년학, 28(4), pp.1055~1068 (2008), 한국노년학회
  18. 남현주, "여성 노인이 지각하는 통제감이 우울감과만족도에 미치는 영향", 노인복지연구, (27), pp.255~277 (2005), 한국노인복지학회
  19. Ran HY, "Factors that affect the quality of life of older people who live alone in urban areas", pp.2008
  20. 황미구, "노인의 주관적인 삶의 질과 자아존중감이 자살사고에 미치는 영향: 우울을 매개변인으로 하여", 한국노년학, 28(4), pp.865~885 (2008), 한국노년학회
  21. 최미지, "노인의 자살사고에 영향을 미치는 신체적, 정신적, 사회적 위험 요인", 신경정신의학, 54(4), pp.459~467 (2015), 대한신경정신의학회[DOI]
  22. 박재홍, "독거노인의 우울이 삶의 만족도에 미치는 영향에 대한 문제음주의 매개효과 검증", 노인복지연구, (47), pp.309~330 (2010), 한국노인복지학회
  23. 이민아, "동거형태와 한국노인의 삶의 질 만족도: 자녀와의 관계 만족도가 갖는 매개효과", 보건과 사회과학, (29), pp.41~67 (2011), 한국보건사회학회
  24. Berg AI, "What matters for life satisfaction in the oldest-old?", Aging Ment Health, 10, pp.257~264 (2006)

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