디지털융복합연구 (Journal of Digital Convergence)

한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

독거노인의 삶의 질에 영향을 미치는 융복합적 요인

Convergence Factors Influencing the Quality of Life in the Elderly People Living Alone

  • 박지선 (우송대학교 사회복지학과) ;
  • 유영주 (한국문화복지실천연구소)
  • 투고 : 2016.09.28
  • 심사 : 2016.11.20
  • 발행 : 2016.11.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 독거노인의 삶의 질 향상을 위한 실천대안을 모색하고자 사회환경적, 심리적, 신체적 요인 등 융복합적 요인들과 건강관련 삶의 질 간의 관련성을 구조방정식모형으로 검증하였다. 연구대상은 2014년 지역사회건강 조사 대상자 중 65세 이상 1인 가구의 13,771명이다. 분석자료는 사회자본, 스트레스, 주관적 건강상태, EQ-5D이고, SPSS 23.0과 AMOS 23.0으로 분석했다. 분석결과 모형의 적합도는 CFI=.906, GFI=.955, RMSEA=.074로 양호한 수치였다. 변수 간 관련성은 독거노인의 사회자본은 스트레스 감소 및 주관적 건강상태를 높이고, 삶의 질 향상으로 이어졌다. 따라서 독거노인의 삶의 질 향상을 위해서는 독거노인 돌봄서비스 확대 및 이들이 참여할 수 있는 공간 마련 등 사회자본 증대를 위한 방안이 요구된다.

In this study, the correlation between convergence factors including social, environmental, psychological and physical factors and the health-related quality of life was examined using a structural equation model to find a practical alternative for improving the quality of life in the elderly people living alone. This study targeted 13,771 seniors from single households aged 65 and over, who were subject to the community health survey in 2014. Social capitals, stress, subjective health conditions and EQ-5D of the subjects were analyzed using SPSS 23.0 and AMOS 23.0. The analysis findings are as follows. The results of the model fit was good value with CFI=.906, GFI=.955, RMSEA=.074. In conclusion, these results demonstrate that for maintaining health and improving the quality of life in the elderly people living alone, families and local communities need to increase social capitals by providing care service for the elderly people living alone and grounds that they can participate in.

키워드

참고문헌

  1. Statistics Korea, http://kostat.go.kr/portal/korea/kor_ki/3/2/6/index.board?bmode=read&aSeq =161820
  2. Kim, G. R., "Home care nursing needs of welfare solitude elderly person in Pusan city", Unpublished master's thesis, Pusan Natinal University, Busan. 2000.
  3. Ko, Y. M., "Factors affecting the health status of elderly living alone in community", Phd. dissertation, p. 2, Seoul National University. 2013.
  4. Cho, S. H., "Factors affecting the Health Promotion Behaviors of the Low-Income Elderly Living Alone", Journal of Digital Convergence, Vol. 13, No. 12, pp. 423-431, 2015.
  5. Kim, J. H. & Kang, W. M. & Yeum, D. M., "An study on Anti-Poverty & Income Inequality Effectiveness of Income Transfer: Focusing on the Single & Spousal Elderly Households", Social Welfare Policy, Vol. 42, No. 1, pp. 135-159, 2015.
  6. Kim, H. R., "Comparison of Prevalence of Depression and Its Risk Factors among the Elderly Female and Male Living Alone in Korea", Korea Public Health Research, Vol. 40, No. 1, pp. 13-27, 2014.
  7. Kwon, M. J., "Convergence Study on the Relation between Cognition, Depression and Aggression in the Elderly", Journal of the Korea Convergence Society, Vol. 6, No. 6, pp. 171-176, 2015. https://doi.org/10.15207/JKCS.2015.6.6.171
  8. Choi, H. J. & Back, S. G., "A Study on Depressive disposition by Convergence approach of Leisure History and Family situation in Elderly Women", Journal of the Korea Convergence Society, Vol. 6, No. 5, pp. 295-302, 2015. https://doi.org/10.15207/JKCS.2015.6.5.295
  9. Park, J. S. & Lee, H. R., "A Comparative on a Study a Health Promoting Lifestyle and Perceived Health Status between High and Low Income Elderly", The Journal of Korean Community Nursing, Vol. 14, No. 1, pp. 157-166, 2003.
  10. Yoon, J. Y., "A study on the propose about a sporting equipment to improve muscle tone for the old.-focusing on the muscle used for everyday living", Journal of the Korean Society of Design Culture, Vol. 17, No. 4, pp. 318-426, 2011.
  11. Jo, M. W., & Lee, S. I., "General population time trade-off values for 42 EQ-5D health states in South Korea", Journal of Prevention Medial Public Health, Vol. 40, No. 2, 169-176, 2007. https://doi.org/10.3961/jpmph.2007.40.2.169
  12. Kim, J. I., "Levels of Health-related Quality of Life (EQ-5D) and Its Related Factors among Vulnerable Elders Receiving Home Visiting Health Care Services in Some Rural Areas", Korean Acad Community Health Nurs, Vol. 24, No. 1, pp. 99-109, 2003.
  13. Kim, K. B. & Lee, Y. J. & Sok, S. H., "A Comparative Study on Health Status, Depression, and Quality of Life between the Elderly Living with Family and the Elderly Living Alone", Korean Journal of Adult Nursing, Vol. 20, No. 5, pp. 765-777, 2008.
  14. Kim, J. H., & Jeong, Y. M., "A study on health status and quality of life in living alone elderly", J Korean Gerontol Nurs, Vol. 4, No. 1, pp. 16-26, 2002.
  15. Ko, J. U., "A Study of the elderly sport policy and the Law Reformation. Based on Leisure welfare for the Elderly" The Korean Association of Sports Law, Vol. 14, No. 2, pp. 67-93, 2011.
  16. Kwon, W. D., "A Life of the Elderly and The Culture of Sport Leisure", Philosophy of Movement, Vol. 13, No. 2, pp. 41-61, 2005.
  17. Leitner, M. J. & Leitner, S. F., "Leisure in Later Life", New York : The Haworth Press, 1985.
  18. Seo, E. J. & Cha, N. H., "The Relationships between Stress and ADL in Elderly Living Alone", Journal of Digital Convergence, Vol. 14, No. 7, pp. 251-258, 2016.
  19. Choi, M. Y. & Kwak, H. K. & Park, H. S., "The Effect of Community Social Capital on the Elderly's Subjective Quality of Life: Focusing on the Mediating Effect of the Elderly Depression", International Journal of Welfare for the Aged, Vol. 66, pp. 307-328, 2014.
  20. Choi, M. Y., "An empirical study of the effects of neighborhoods and social capital on elderly people depression", Center For Social Welfare Research Yonsei University, Vol. 18, pp.25-46, 2008.
  21. Jeong, W. C. & Park, S. H., "Influences of Social Capitals Affecting Self-esteem and Psychological Wellbeing of the elderly", The Korea Contents Society, Vol. 13, No. 12, pp. 235-245, 2013.
  22. Jang, Y. E. & Kim, S. Y., "Influence of Social Capital of Elderly Living Alone on Stress", The Journal of Humanities and Social science, Vol. 6, No. 3, pp. 441-464, 2015.
  23. Choi, Y. H., "A study on depression, sleep and fatigue in younger and older elders", Journal of the Korean Academy of Community Health Nursing, Vol. 18, pp. 223-231, 2007.
  24. Lee, B. Y., Jo, H. S., Lee, H. J., & Yoo, S. H., "Health pro-motion priorities of older adults in a rural community", The Journal of Korean Community Nursing, Vol. 19, pp. 57-65, 2008.
  25. Lee, Y. J., & Kim, T. H., "A Study on the buffering effect of social support on the stress of the aged who lives alone", Journal of the Korean Gerontological Society, Vol. 19, pp. 79-93, 1999.
  26. Kim, S. Y., Choi, K. W., & Oh, H. Y., "Relationships of social networks to health status among the urban low-income elderly", Korean Journal of Rehabilitation Nursing, Vol. 13, No. 1, pp. 53-61, 2010.
  27. Brooks, R., Rabin, R. M., & Charro, F., "The Measurement and valuation of health status using EQ-5D: A european per-spective", Evidence from the EuroQol BIOMED Research Program, The Netherland: Kluwer Academic Publisher, 2005.
  28. Bae, N. R. & Park, C. S., "A Study on the Ecological Factors Affecting the Quality of Life among the Elderly People", Journal of Korea Gerontological Society, Vol. 29, No. 2, pp. 761-779, 2009.
  29. Kim, K. H. & Lee, S. K. & Yoon, H. J. & Kwon, G. H., "The effects of social capital of old-old elderly of more than 70- year-old on their health-related quality of life", Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 6, pp. 3889-3901, 2015. https://doi.org/10.5762/KAIS.2015.16.6.3889
  30. Berg, A. I. & Hassing, L. B. & Mcclearn, G. E. & Johansson, B., "What matters for life satisfaction in the oldest-old?", Aging & Mental Health, Vol. 10, No. 3, pp. 257-264, 2006. https://doi.org/10.1080/13607860500409435
  31. Kim, M. R., "The Study of Comparing the Factors of Affecting on the Quality of Life for Young-Old Women and Old-Old Women", Korean Journal of Social Welfare, Vol. 58, No. 2, pp. 197-222, 2006.
  32. Woo, K. S. & Seo, J. H. & Kim, G. S. & Shin, Y. J., "The effect of social capital, health risk behavior and health status on medical care utilization by the elderly" Korean Journal of Health Policy & Administration, Vol. 22, No. 4, pp. 497-521, 2012. https://doi.org/10.4332/KJHPA.2012.22.4.497
  33. Snelgrove, J. W. & Pikhart, H. & Stafford, M., "A multilevel analysis of social capital and self-rated health: Evidence from the British Household Panel Survey" Social Science & Medicine, Vol. 68. pp. 1993-2001, 2009. https://doi.org/10.1016/j.socscimed.2009.03.011
  34. Kim, K. H. & Lee, S. K. & Yoon, H. J. & Kwon, G. H., "The effects of Social Capital of old-old elderly of more than 70-year-old on their health-related quality of life" Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 6. pp. 3889-3901, 2015. https://doi.org/10.5762/KAIS.2015.16.6.3889
  35. Nam, S. I. & Yi, H. J. & Kim, S. J. & Kim, B. K., "The effect of subjective socioeconomic status on suicidal ideation in older Koreans" Health and Social Welfare Review, Vol. 36, No. 2. pp. 121-150, 2016. https://doi.org/10.15709/hswr.2016.36.2.121
  36. EuroQol Group, "EuroQol: a new facility for measurement of health-related quality of life", Health policy, Vol. 16, pp. 199-208, 1990. https://doi.org/10.1016/0168-8510(90)90421-9
  37. Yamamoto K. & Onodera T., "Covariance structure analysis and analysis case by Amos", Kyoto: Nakanishiya Publication, 2002.
  38. Peek M. K., "Structural Equation Modeling and Rehabilitation Research", American Journal of Physical Medicine and Rehabilitation, Vol. 79, No. 3, pp. 301-309, 2000. https://doi.org/10.1097/00002060-200005000-00014
  39. Lee, H. J., "A Study on the Factors Affecting the Mental Health of the Elderly : Focusing on the Social Capital Traits", Social Science Research Review, Vol. 25, No. 3, pp. 25-42, 2009.
  40. Woo, K. S. & Seo, J. H. & Kim, G. S. & Shin, Y. J., "The effect of social capital, health risk behavior and health status on medical care utilization by the elderly", Korean Journal of Health Policy & Administration, Vol, 22, No. 4, pp. 497-521, 2012. https://doi.org/10.4332/KJHPA.2012.22.4.497
  41. Jang, Y. E. & Kim, S. Y., "Influence of social capital of elderly living alone on stress", The Journal of Humanities and Social science, Vol. 6, No. 3, pp. 441-464, 2015.
  42. Hong, S. H. "The Effect of social support on Elderly Women's Quality of Life", Korean Family Resource Management Association, Vol. 19, No. 2, pp. 1-26, 2015.
  43. Lazarus, R. S. & Folkman, S., "Stress, appraisal, and coping", New York: Springer Publishing Company, 1984.