DOI QR코드

DOI QR Code

재가노인의 약물지식과 약물오남용행위 및 사회적지지의 구조모형분석

An Analysis of the Structural model of social support for Drug Knowledge, and Drug Abuse in the Dwelling Elderly

  • 성춘희 (영남이공대학교 간호학과) ;
  • 박미라 (경산1대학교 간호학과) ;
  • 김영진 (대구과학대학교 간호학과)
  • Sung, Chunhee (Department of Nursing, Yeungnam College of Science & Technology) ;
  • Park, Meera (Department of Nursing, Gyeongsan University) ;
  • Kim, YoungJin (Department of Nursing, Taegu Science University)
  • 투고 : 2013.11.14
  • 심사 : 2014.04.10
  • 발행 : 2014.04.30

초록

본 연구는 재가노인의 약물오남용행위에 영향을 주는 약물지식과 사회적지지의 관계구조를 구조방정식모형을 사용하여 검증하였다. D시에 거주하는 재가노인 177명을 대상으로 2013년 5월 13일부터 5월 25일까지 13일 간 설문지를 이용한 자료수집과 분석을 하였다. 연구모형의 3요인간의 모형접합도와 상관관계는 유의하게 나타났다. 첫째, 사회적지지가 약물지식에 미치는 효과는 ${\beta}$=.515(p=.005)로 통계적으로 유의하게 나타났으며, 둘째, 사회적지지가 약물 오남용행위에 미치는 효과는 ${\beta}$=-.769(p=.002)로 유의하였으나 간접효과는 ${\beta}$=.036(p=.671)로 유의하지 않았다. 셋째, 사회적지지에서 약물오남용에 간접효과가 유의하지 않게 나옴으로 약물지식이 오남용에 대한 매개효과는 없는 것으로 나타났다. 본 연구에서 사회적지지가 중요한 인자로 나왔지만 선행연구들에서는 약물지식이 약물오남용행위를 감소시키는 중요요인으로 언급되고 있어 효과검증을 위한 반복연구가 요구된다.

The purpose of this research was to investigate the relation between social support and the knowledge of drug which affects drug abuse in elderly by using structure equation model(SEM). The samples included 177 elderly who lived in 'D' city was selected. Data were collected and analyzed using questionnaires for 13 days from May 13 to May 25, 2013. 3 factors of research models had a significant model fit and correlation. The key research findings are as follows. First, the more social support they have, the more knowledge of drug they tend to have(${\beta}$=.515, p=.005). Second, direct effect that social support led to drug abuse was significant.(${\beta}$=-.769, p=.002) However the indirect effect was not significant(${\beta}$=.036, p=.671). Third, the indirect effect that social support led to drug abuse was not significant, which means it has no mediating effect. Social support turned out to be very important factor in this research, but other preceding research mentioned that knowledge of drug is an important factor which could reduce drug abuse. Research needs to be analyzed repeatedly for verification of effects.

키워드

참고문헌

  1. Statistics Korea. Estimated Population Projections. 2012. [cited Jun 14, 2012], Available From: http://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STT S_IdxMain.jsp?idx_cd=1009. (accessed December, 10, 2013)
  2. Statistics Korea. The elderly Survey. 2011. [cited Jun 14, 2012], Available From: http://kosis.kr/gen_etl/start.jsp?orgId=117&tblId=DT_117 71_2011N035&conn_path=K1 (accessed December, 10, 2013)
  3. National Health Insurance Corporation. Health Insurance Statistics Yearbook, 2011. [cited December 10, 2012], Available From: http://www.hira.or.kr/cms/information/05/03/02/stats_rep ort.html (accessed December, 10, 20123)
  4. Fastbom J. Increased consumption of drugs among the elderly results in greater risk of problems. Lakartidningen. Vol.98, No.14, pp. 1674-1679, 2001.
  5. Lee J.K., Factors Associated with Drug Misuse Behaviors among Polypharmacy Elderly. Korean J Adult Nurs Vol.23, No.6, 554-563, 2011.
  6. Kim, M.S., Behavior of drug misuse & abuse elderly patients - compared to general elderly patients with low-income seniors patients using public hospitals, Master's thesis, Chungbuk University, 2010.
  7. Park S.H., A study on drug Abuse among the Eldely. Master's Hanmam University, 2009.
  8. Han, J.H., The influence of cognitive function, their family support and medication knowledge upon medication adherence in old people. Master's thesis, Ewha Womans University. 2007.
  9. Kim H.K., A Study on the Status of Drug use and Drug misuse in Elders, Master's thesis, Catholic University of Pusan, 2009.
  10. Kline, R.B., Principles and Practice of structural Equation Modeling, 2nd ed. New York; The Guilford Press. 2005
  11. Frazer, P.A., Tix, A.P. & Barron, K.E., Testing moderator and mediator effects in counseling psychology, Journal of Counseling Psychology, Vol. 51 No. 1, pp.115-134, 2004. DOI: http://dx.doi.org/10.1037/0022-0167.51.1.115
  12. Baron, R.M., & kenny, D.A., The moderator-mediator variable distension in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, Vol. 51 No. 6, pp.1173-1182, 1986. DOI: http://dx.doi.org/10.1037/0022-3514.51.6.1173
  13. Bae, B.R., Structural Equation Modeling with AMOS 17.0-Principle and Practice, pp. 173-176, Crbooks, 2011.
  14. Lee, S.A., A Study on Relationships between Health Literacy, Drug Knowledge, and Drug Misuse of Rural Elderly. Master's thesis, Keimyung University. 2010.
  15. Lee, D.Y., Development and evaluation of preventive education program for medication misuse of the community dwelling elderly, Doctor's thesis, Yonsei University, 2002.
  16. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment Vol.52, pp.30-41, 1988. DOI: http://dx.doi.org/10.1207/s15327752jpa5201_2
  17. Moon, S.B., Basic concepts and applications of structural equation modeling : with AMOS 17.0, pp 168-172, Hakjisa, 2009.
  18. Hu, L., Bentler, P.M., Cutoff criteria for fit indexes in covariance structure analysis: Coventional criteria versus new alternatives, Structural Equation Modeling, Vol.6, No.1, pp.1-55, 1999. DOI: http://dx.doi.org/10.1080/10705519909540118
  19. Shin, K.R., Kim, J.S., Kim, J.Y., Yi, H.R. & Kim, J.S., Effects of a drug misuse and abuse prevention program on knowledge, attitude, and preventive behaviors related to drug misuse and abuse, and depression in low-income elderly women. Journal of Korea Acad Nurs, Vol. 35 No. 5, pp.763-773, 2005. https://doi.org/10.4040/jkan.2005.35.5.763
  20. Ministry of Health and Welfare, Baby boomers envision future forums [cited January, 26, 2011], Available From: http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_ MENU_ID=04&MENU_ID=0403&BOARD_ID=140& BOARD_FLAG=00&CONT_SEQ=248474&page=1 (accessed January, 10, 2014).
  21. Connolly, C.M., Meiselwitz, G. Third Agers and Social Networking in Higher Education. No.6778. pp 30-39, 2011.
  22. Lee, J.H., Park, M.W., The Effects of an Education Program for Safe Drug Use in the Rural Elderly. Journal of Korean Acad Nurs Vol.37 No.3, pp.295-304, April, 2007. https://doi.org/10.4040/jkan.2007.37.3.295
  23. Choi, Y,H, The health status and the care demand among the solitary elderly and the elderly living with family in rural areas. The Graduate School of Information in Clinical nursing Hanyang University.
  24. Jeon, S.H., A Study on the Status of Drug use in Elderly, Master's thesis, Hanyang University, 2012.