65세 이상 노인에서 우울증을 동반한 만성질환상태에서 따른 자가 평가 건강수준
Self-Rated Health of the Chronic Disease Patients with Depression in Aged over 65
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
본 연구는 부산지역 65세 이상 노인을 대상으로 질병상태를 정상, 만성질환, 우울증, 우울증을동반한 만성질환의 4군으로 구분하여 질병상태에따른 자가 평가 건강수준을 비교하고, 자가 평가건강 수준에 관련된 요인을 관찰하고자 하였다. 연구 자료로 부산광역시 2009년 지역사회건강조사 자료를 활용하였고, 그 중 65세 이상 노인2,549명을 추출하여 연구 대상으로 하였다. 자료는 SAS program(ver. 9.2)을 이용하여 χ2-test, multiple logistic regression을 복합표본분석 방법으로 분석하였다. 분석 결과 자가 평가 건강수준이 만성질환과우울증의 단일질환만을 가진 경우보다 만성질환에우울증을 동반한 경우 매우 낮게 관찰되었고, 만성질환자의 우울증 동반율이 높았다. 질병 상태이외에 여자에서, 교육수준이 낮은 경우. 경제수준이 낮은 경우, 중등도 운동을 하지 않는 경우, 걷기 운동을 하지 않는 경우 자가 평가 건강수준이낮았다. 본 연구결과를 토대로 노인 만성질환관리 사업에우울증 관리를 연계한 사업 모형을 개발하여 지역사회에 적용할 것과 노인 만성질환 관리 사업에서는 우선대상으로 취약계층과 여성을 고려하고, 운동 사업을 연계하는 것을 제안한다.
Abstract
Objectives: To compare the self-rated health in chronic disease patients with depression, chronic disease patients, and depression patients, and to observe the related factors to the self-rated health of people age 65and older. Methods: The subjects were 2,549 elderly people, over 65 years old in Busan Metropolitan City who participated in 2009 community health survey. Association between self-rated health and general characteristics, life style and disease status were observed. Depressive symptoms were measured using the Centre for Epidemiologic Studies Depression Scale (CES-D). Analysis of complex sample was done with SAS (ver. 9.2), using χ2-test and multiple logistic regression. Results: Among total 2,549, there were 740 normal people (29.8%), 50 people with depression (1.8%), 1,495 people with other chronic diseases (58.2%), and 264 people with the comobidity of depression and other chronic diseases (10.1%). Good self-related health accounted for 20.3% for the whole, 33.4% for normal, 16.7% for chronic disease, 16.1% for depression, and 3.2% for chronic diseases with depression. Disease, gender, education, income, alcohol drinking, regular exercise and regular walking were independent factors associated with the good self-related health. Conclusions: It is suggested that when the chronic disease control program for the elderly is developed, depression care should be considered along with the program. This program should be given priority to the women and the vulnerable classes and should also be related to the regular walking.
참고문헌 (33)
- 통계청., "2010년 고령자 통계", ~ (2010)
- Report of a Joint WHO, "FAO Expert Consultation-Diet nutrition and the prevention of chronic diseases", World Health Organization, 2003
- 2010년 주요 만성질환 관리사업, "보건복지부", ~ (2010)
- Yang JB, "Study of quality of life in chronic arthritis patients", pp.2008
- Kang HG, "Social work in health care" (2005), HAKHYUNSA
- Shim SH, "Stress & depressive mood on th aged with chronic disease", pp.2008
- 2004-2008년 우울증 환자의료이용 추이 분석, "건강보험심사평가원", ~ (2009)
- 통계청, "2009년 사망원인 통계", ~ (2009)
- OECD, "OECD Health Data 2010: Statistics and Indicators for 34 Countries", ~ (2010)
- "Causes of death(2000～2009)"[URL]
- 응급실 손상환자 표본 심층 조사, "질병관리본부", ~ (2010)
- Guyatt GH, "Measuring health-related quality of life", Annals of internal medicine, 118, pp.622~629 (1993)
- Hollandsworth JG, "Evaluating the impact of medical treatment on the quality of life: a five year update", Social science & Medicine, 26, pp.425~434 (1988)
- Choe SY, "Associated factors of health-related quality of life using data mining", pp.2009
- Belloc NB, "Relationship of physical health status and health practices", Preventive Medicine, 1(3), pp.409~421 (1972)
- Idler EL, "Self-rated health and mortality : A review of twenty-seven community studies", Journal of Health Social Behavior, 38(1), pp.21~37 (1997)
- Crain TJ, "Influence of demographic characteristics on two measures of depressive symptoms", Archives General Psychiatry, 36, pp.149~154 (1979)
- Eaton WW, "Rate of symptoms of depression in a national sample", American Journal Epidemiology, 114, pp.528~538 (1981)
- Robers RE, "Reliability of the CES-D scale in different ethnic contexts", Psychiatry Research, 2, pp.125~133 (1980)
- Cho MJ, "Diagnostic Validity of the CES-D(Korean Version) in the Assessment of DSM-Ⅲ-R Major Depression", J Korean Neuropsychiatr Assoc, 32(3), pp.381~399 (1993)
- Borg V, "Social class and self-rated health: Can the gradient be explained by differences in life style or work environment?", Social Science & Medicine, 51(7), pp.1019~1030 (2000)
- Spitzer WO, "Measuring the quality of life of cancer patients", Journal of Chronic Disease, 34, pp.585~597 (1981)
- 2008년 사회조사(보건, 가족 부분), "통계청", ~ (2008)
- Sung KS, "Study on relationship between depression and the quality of life(EQ-5D)", pp.2009
- Niemi ML, "Quality of life 4 years after stroke", Stroke, 19, pp.1101~1107 (1988)
- 2004년도 전국 노인 생활 실태및 복지욕구조사, "보건사회연구원", ~ (2005)
- Sim SM, "The Study of Epidemiology of Depression and Treatment Strategies for Korean Married Women`s Depression", Korean Journal of Christian Counseling, 10, pp.53~88 (2005)
- Kim YH, "A study Health-related Quality of Life of Stroke Patients", pp.2006
- Woolf SH, "Is cigarette smoking associated with impaired physical and mental functional status? An Office-based survey of primary care patients", American Journal of Preventive Medicine, 17, pp.134~137 (1999)
- Volk RJ, "Alcohol use disorders consumption patterns, and health-related quality of life of primary care patients", Alcoholism: Clinical & Experimental Research, 21(5), pp.899~905 (1997)
- Jin JK, "The effect of physical activity and dietary habit on functional fitness prevalence of chronic disease, and health related quality of life in older adults", pp.2008
- 김건엽, "고혈압 환자의 삶의 질 측정도구 개발", 예방의학회지, 38(1), pp.61~70 (2005), 대한예방의학회
- Groessl EJ, "Body mass index and quality of well-being in a community of older adults", American Journal of Preventive Medicine, 26(2), pp.126~129 (2004)