빈곤층 노인의 건강상태, 건강인식 및 건강증진행위 실천 간의 관계 -보건소 방문간호 대상자 중심으로 -

Health Status, Health Perception, and Health Promotion Behaviors of Low-income Community Dwelling Elderly

  • 이태화 (연세대학교 간호대학, 간호정책연구소) ;
  • 고일선 (연세대학교 간호대학) ;
  • 이경자 (연세대학교 간호대학) ;
  • 강경화 (연세대학교 간호대학 간호정책연구소)
  • Lee Tae-Wha (College of Nursing, Nursing Policy Research Institute, Yonsei University) ;
  • Ko Il-Sun (College of Nursing, Yonsei University) ;
  • Lee Kyung-Ja (College of Nursing, Yonsei University) ;
  • Kang Kyeong-Hwa (Nursing Policy Research Institute, Yonsei University)
  • 발행 : 2005.04.01

초록

Purpose: The purpose of the study was to investigate the health status(present illness, ADL and IADL), health perception, and health promotion behaviors of low-income elderly who are receiving the visiting nurse service in the community. Method: The sample of the study was 735 elderly over 65years old with basic livelihood security, who were conveniently selected from 245 public health centers nation-wide. Data collection was done using a structured questionnaire through interviews by visiting nurses. Result: The average number of present illnesses in the study subjects was 4.18. The average scores of ADL and IADL were 15.903.39and 9.772.97 respectively, which indicates a relatively independent everyday life. However, $64.2\%$ of the subjects perceived their health status as 'not healthy'. In terms of health promotion behaviors, $77.8\%$ of the subjects had ceased smoking, $83.9\%$ stopped drinking, $56.4\%$ had a regular diet, $45.8\%$ received regular physical check-ups during the past two years, and $66\%$ received flu shots. Approximately $50\%$ of the subjects were practicing 3-4 health promotion behaviors. Significant factors associated with health promotion behaviors were ADL, IADL and self-efficacy. Conclusion: Health promotion programs which focus on regular diet, exercise, and regular physical check-ups should be developed to improve independence of everyday life and quality of life among low-income elderly.

키워드

참고문헌

  1. Banes, S. J. (1997). Health promotion in the context of long term care. Gerontological Nursing: concepts and practice. 2nd edition. W.B. Saunders Company. London, Tokyo
  2. Brown, J. S., & Mccreedy, M. (1986). The hale elderly: Health behavior and its correlates, Research in Nursing & Health. 9(3) : 317-329 https://doi.org/10.1002/nur.4770090409
  3. Chung, K. H., Cho, A. J., & Oh, K. H. (1998). National survey on lifestyle and social welfare need of older persons. Unpublished Report. KIHASA
  4. Chung, K. H., Oh, Y. H., & Lee, Y. K. (2003). Regional Difference in Elderly Welfare Services and Policy Issue. Unpublished Report. KIHASA
  5. Hong, Y. A. (2003). The effect of health screening on health promotion behaviors in the elderly. Unpublished Master dissertation, University of Yonsei, Seoul
  6. Jun, K. J., & Cho, Y. M. (2001). A Survey on Funtional Status among Low-Income Older Adults Living at Home. J Korean Acad Nurs, 31(5) : 749-758
  7. Katz, S., & Akpom, C. A. (1976). A measure of primary sociobiological functions. International Journal of Health Service. 6(3), 493-508 https://doi.org/10.2190/UURL-2RYU-WRYD-EY3K
  8. Kim, M. G. (2003). Strategies for Reducing Gaps in the Basic Social Security. Health and Wealfare Policy Forum. 84, 26-35
  9. Kim, H. J., June, K. J. Kim, H. G . So, A. Y., Lee, K. M., Kim, E. Y., & Park, E. O. (2000). Need Assessment and content development of Public health. medical . welfare service for the elderly in the community. Ministry of Public Health and Welfare of Korea
  10. Kim, H. J., & Park, Y. S. (1997). Determinants of Health-Promoting Behavior in the Elderly. J Korean Fund Nurs, 4(2), 283-300
  11. Kim, S. M., Kim. Y. O., kim, K. S., Ryu, S. Y., Lee, C. G., Ahan, H. O., Park, J., & Son, M. H. (1998). The Health promoting Activity of Old Aged in a Rural Area. J of Korean Rural Community Medical Science, 23(1), 79-88
  12. Ko, L. S. (1993). Supply and Demand of Home Health Care Nurses for the Chronically III Elders. Unpublished doctorial dissertation, University of Yonsei, Seoul
  13. Kwon, J. H., Yun, H. J., Moon, H. J., Lee, J. M., Son, Y. H., Park, S. H., Lee, H. K., & Lee, S. G. (2002). Dietary Behavior and Nutritional Status of the Elderly Women Attending at the Health Promotion Program in an Urban Community. Korean J Community Nutrition 7(6), 814-823
  14. Lawton, M. P., & Brody, E. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 9(3), 179-186 https://doi.org/10.1093/geront/9.3_Part_1.179
  15. Lee, K. S., & Jung, Y. S. (1998). Determinants of Health-Promoting Behavior in the Elderly. J of Korean Community Nursing, 9(1), 72-88
  16. Lee, T. W. (2004). Economic Evaluation of Visiting Nurse Services for the Low-income Elderly with Long-term Care Needs. J Korean Acad Nurs, 34(1), 191-201
  17. Lee, K. J., Yun, J. R., Ko, L. S., Lee, T. H., Ju, Y. S., Bae, S. S., Oh, J. J., & Gweon, S. H. (2001). A Prediction Model of Health Promotion and Illness Prevention Behaviors in the Elderly. Unpublished report. Yonsi University & Ministry of Health & Welfare
  18. Ministry of Health and Social Welfare (2004). Elderly Health and Social Welfare Service Guideline. http://www.mohw. go.kr
  19. National Statistic Organization (2003). Korea Social Index, http://www.nso.gr.kr
  20. Park, J. M., & Han, S. H. (2003). Effect of Exercise Program on Health and Depression in the Elderly. J Korean Acad of Nur, 33(2), 220-227
  21. Park, S. L. (2000). Actual Sate of Poverty and Income Distribution. Health and Welfare Policy Forum, 41, 17-25
  22. Park, K. H. (1997). Elderly Health and Social Welfare. Health and Welfare Policy Forum, July. 6-15
  23. Shin, S. H. (2001). Health Status and Use of Health Care Services by the Elderly Persons Utilizing Senior Citizen Centers. Unpublished Master dissertation, University of Yonsei, Seoul
  24. Sunwoo, D. (2003). Policy Issues for Maintaining Health of Elderly Persons. Health and Welfare Policy Forum, July. 42-52
  25. Ware, J. E. (1978). Health perception questionnaire, Instruments for measuring nursing practice and other care variables. Hyattville, Maryland : DHEW Publication
  26. Yim, E. S. (2002). Effect of physical ability, depression and social support on quality of life in low income elders living at home. Unpublished Master dissertation, University of Yonsei, Seoul