농촌 지역 노인들의 우울과 건강상태, 신체적 기능 및 사회적 지지와의 관련 예측요인
Predictive Relationships between Depression and Health Status, Physical Function, and Social Support of Elders in Rural Areas
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Purpose: The purpose of this study was to investigate the relationships between depression and health status,physical function, and social support of elders in rural areas. Methods: The participants in this study were 146older people, 65 or older living in agricultural areas. The data were analyzed using descriptive statistics, t-test,ANOVA, Pearson's correlation and stepwise multiple regression. Results: Depression was high among the elderly group who had low monthly income, no regular exercise, and poor sleeping patterns. Depression was also high among the elderly group who were forgetful, had no independent IADL, no social or leisure activities, and low social support. The factors influencing depression in the elders were sleeping pattern, forgetfulness, IADL, social gatherings,number of friends, and social support. Conclusion: Results indicate that depression in elders in rural areasis related to various factors. Therefore various practical approaches are needed as nursing interventions to managedepression in this population. Total professional intervention programs for the elderly are also needed to preventand for early detection of depression in elders, programs such as community health programs and social and psychological programs designed to enhance the self-esteem of rural elders.
Abstract
Purpose: The purpose of this study was to investigate the relationships between depression and health status,physical function, and social support of elders in rural areas. Methods: The participants in this study were 146older people, 65 or older living in agricultural areas. The data were analyzed using descriptive statistics, t-test,ANOVA, Pearson's correlation and stepwise multiple regression. Results: Depression was high among the elderly group who had low monthly income, no regular exercise, and poor sleeping patterns. Depression was also high among the elderly group who were forgetful, had no independent IADL, no social or leisure activities, and low social support. The factors influencing depression in the elders were sleeping pattern, forgetfulness, IADL, social gatherings,number of friends, and social support. Conclusion: Results indicate that depression in elders in rural areasis related to various factors. Therefore various practical approaches are needed as nursing interventions to managedepression in this population. Total professional intervention programs for the elderly are also needed to preventand for early detection of depression in elders, programs such as community health programs and social and psychological programs designed to enhance the self-esteem of rural elders.
참고문헌 (30)
- Bath, P. A., "Social engagement and health outcomes among older people : Introduction to a special section", European Journal of Ageing, 2(1), pp.24~30 (2005)
- 천의영, "노인의 사회 연결망 유형과 건강상태와의 관련성", Journal of Korean Academy of Nursing, 40(1), pp.88~98 (2010), 한국간호과학회
- 최형임, "자아존중감과 사회적 지지가 노인의 스트레스적 생활경험과 절망감의 관계에 미치는 매개효과", 노인복지연구, 43(43), pp.183~202 (2009), 한국노인복지학회
- 추경진, "인식된 짐스러움, 절망, 우울 및 자살생각의 관계 : 청소년과 노인의 비교", 한국심리학회지: 발달, 25(3), pp.31~53 (2012), 한국심리학회 산하 한국발달심리학회
- 정순둘, "우울 영향요인 : 베이비부머, 예비노인, 현재노인의 비교", 노인복지연구, 52(52), pp.305~324 (2011), 한국노인복지학회
- Cohen, J., "Statistical power analysis for the behavioral sciences" (1988), Lawrence Erlbaum Associates
- Demyttenaere, K., "Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys", JAMA, 291(21), pp.2581~2590 (2004)
- Gazmararian, J., "A multivariate analysis of factors associated with depression", Archives of Internal Medicine, 160(21), pp.3307~3311 (2000)
- 정은숙, "노인의 우울유무에 따른 일상생활수행능력과 수면의 비교", 디지털융복합연구, 11(1), pp.289~297 (2013), 한국디지털정책학회
- Kee, B. S., "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)
- 김현미, "취약계층 독거노인의 우울에 미치는 영향변인", 지역사회간호학회지, 22(4), pp.355~364 (2011), 한국지역사회간호학회
- 김재민, "주관적 기억장애, 인지기능, 그리고 우울증- 지역사회 거주노인에 대한 단면연구 -", 신경정신의학, 41(4), pp.706~712 (2002), 대한신경정신의학회
- 고정은, "노인우울에 영향을 미치는 요인에 대한 다층분석", 정신보건과 사회사업, 40(1), pp.322~351 (2012), 한국정신보건사회복지학회
- Lawton, M. P., "Assessment of older people : Self-maintaining and instrumental activities of daily living", The Gerontologist, 9(3), pp.179~186 (1969)
- 이홍자, "일 지역 재가노인의 우울 및 삶의 질 영향요인", 지역사회간호학회지, 20(1), pp.12~22 (2009), 한국지역사회간호학회
- Norbeck, J. S., "The development of an instrument to measure social support", Nursing Research, 30(5), pp.264~269 (1981)
- 오인근, "여성노인의 사회적 관계망이 우울에 미치는 영향 연구-건강증진행위의 매개효과를 중심으로-", 한국가족복지학, 14(1), pp.113~136 (2009), 한국가족복지학회
- Park, J. H., "Assessment of function status in the elderly", Journal of Korean Neuropsychiatric Association, 34(3), pp.636~641 (1995)
- 박승미, "노인의 불면정도에 따른 우울 및 삶의 질", 한국노년학, 28(4), pp.991~1007 (2008), 한국노년학회
- Peng, T. R., "Social support, home health service use, and outcomes among four racial-Ethnic groups", The Gerontologist, 43(4), pp.503~513 (2003)
- 2013 53rd Chungnam statistical year book, "Policy Planning Office of Chungcheongnam-do.", Policy Planning Office of Chungcheongnam-do., ~, pp.Publication No. 74-6440000- 000007-10 (2014)
- 노병일, "사회적 지지의 수준과 차원이 노인 우울에 미치는 영향", 한국노년학, 27(1), pp.53~69 (2007), 한국노년학회
- Salzman, C., "The American textbook of geriatric neuropsychiatry", pp.313~328 (2000), American Psychiatric Press
- Satio, E., "Social support as a predictor of health status among older adults living alone in Japan", Nursing & Health Sciences, 7(1), pp.29~36 (2005)
- Sheikh, J. I., "Clinical gerontology; A guide to assessment and intervention", pp.165~173 (1986), Haworth Press
- 신은숙, "농촌지역 노인들의 신체적 기능(ADL, IADL)과 우울수준과의 관련성", 한국산학기술학회논문지, 13(1), pp.201~210 (2012), 한국산학기술학회
- Sinoff, G., "Anxiety disorder and accompanying subjective memory loss in the elderly as a predictor of future cognitive decline", International Journal of Geriatric Psychiatry, 18(10), pp.951~959 (2003)
- 송민선, "농촌 여성노인들의 우울과 건강체력간의 관련성 연구", Journal of korean biological nursing science, 13(1), pp.37~43 (2011), 기초간호학회
- "2013 Statistics for the aged" (2013)[URL]
- Won, C. W., "The development of Korean Activities of Daily Living(K-ADL)and Korean Instrumental Activities of Daily Living(K-IADL)scale", Journal of the Korean Geriatrics Society, 6(2), pp.107~120 (2002)