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Analysis of the Influence of Physical Function and Social Support on Depressive Symptom in the Community Elderly Using the Structural Equation Model

구조방정식모형을 이용한 노인들의 신체적 기능과 사회적지지가 우울수준에 미치는 영향 분석

  • Shin, Eun-Sook (Department of Health Administration, Joongbu University) ;
  • Kwon, In-Sun (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences)
  • 신은숙 (중부대학교 보건행정학과) ;
  • 권인선 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소)
  • Received : 2011.10.04
  • Accepted : 2011.11.10
  • Published : 2011.11.30

Abstract

This study was performed to determine the levels of depressive symptoms among community elderlies and to reveal its related factors, specifically aimed at revealing factors such as social support, family support and physical function. The interviews were performed, during the period from April 1st, to June 30th, 2010, to 995 elderlies in Daejeon city. As a results, social support, family support, ADL and IADL was found to be in a positive correlation with depressive symptoms. With the analysis of covariance structure, social support was more influential on the level of depressive symptom than family support and physical function. It was found to have the inter-relational effects that the greater the social support, family support and physical function, the lower the level of depressive symptoms.

본 연구는 노인들의 신체적 기능, 사회적 지지, 가족지지 및 우울수준을 실태를 알아보고 이들 상호간의 관련성을 파악하며, 공분산구조분석을 통하여 신체적 기능, 사회적지지 및 가족지지가 우울수준에 미치는 영향을 파악하고자 하였다. 조사대상은 대전광역시에 거주하고 있는 노인 995명이었으며, 조사는 2010년 4월 1일부터 6월 30일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사 하였다. 연구결과 사회적지지, 가족지지 및 신체적 기능(ADL, IADL)이 높을수록 우울수준은 낮은 경향을 보였다. 또한 공분산 구조분석 결과, 사회적 지지는 가족지지나 신체적 기능보다 우울수준에 더 큰 영향을 미쳤으며, 사회적지지, 가족지지 및 신체적 기능이 높을수록 우울수준을 감소시키는 효과가 있는 것으로 나타났다.

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