Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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The Association between Family Support, Activities of Daily Living and Depression among Hospitalized Older Patients with Chronic Diseases

만성질환 입원노인의 가족지지 및 일상생활 수행능력과 우울과의 관련성

  • Kim, Jeong Yi (Department of Public Health, Graduate School of Health Science, Chosun University) ;
  • Ryu, So Yeon (Department of Preventive Medicine, Chosun University Medical School) ;
  • Han, Mi Ah (Department of Preventive Medicine, Chosun University Medical School) ;
  • Choi, Seong Woo (Department of Preventive Medicine, Chosun University Medical School)
  • 김정이 (조선대학교 보건대학원 보건학과) ;
  • 류소연 (조선대학교 의과대학 예방의학교실) ;
  • 한미아 (조선대학교 의과대학 예방의학교실) ;
  • 최성우 (조선대학교 의과대학 예방의학교실)
  • Received : 2016.02.23
  • Accepted : 2016.03.21
  • Published : 2016.03.31
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Abstract

Purpose: This study was performed to identify the association between family support, activities of daily living (ADL) and depression among hospitalized older patients with chronic diseases. Methods: This study subjects were 100 elderly patients with chronic diseases including chronic respiratory diseases, diabetes mellitus and et al. in a general hospital. The collected data were patient characteristics, family support, ADL, and depression by structured questionnaire and medical chart review. The used statistical analyses were t-test, analysis of variance, Pearson's correlational analysis and multiple regression analysis. Results: The mean scores of family support, ADL and depression were $49.95{\pm}8.68$, $8.65{\pm}2.65$, $6.66{\pm}3.78$, respectively. The prevalence rate of depression was 64.0%. In simple analysis, the statistically significant associated factors with depression were age, spouse, economic status, social activity, subjective health status, and number of pain. Depression had statistically a significant positive correlation with ADL and a negative correlation with family support. The final result of hierarchial multiple regression analysis (Model 3), the factors related to depression were family support (b=-.135, p<.001), subjective health status (b=2.510, p=.001). Conclusions: It is necessary to develop and apply the program for controlling the depression of elderly patients with health education, reinforcement of supportive systems in hospital. And, further multidisciplinary studies should be done.

본 연구는 종합 병원에 만성 질환으로 입원 한 노인 환자의 가족지지, 일상생활 수행능력 및 우울간의 관계를 파악하기 위해 수행하였다. 연구 대상자는 G광역시에 위치한 일개 종합병원에 만성질환으로 입원한 환자 100명을 대상으로 하였으며, 관련성을 알아보기 위하여 t-검정, 분산분석, 상관분석과 위계적 다중회귀분석을 이용하였다. 연구 결과, 연구 대상자의 가족지지 정도는 $49.95{\pm}8.68$점, 일상생활 수행능력 $8.65{\pm}2.65$점, 우울 $6.66{\pm}3.78$점이었다. 전체 연구 대상자의 64%가 경증 이상의 우울을 가지고 있었다. 위계적 다중회귀분석 결과, 사회인구학적 특성에 일상생활 수행능력을 포함하여 분석한 Model 1에서는 주관적 건강상태(${\beta}=2.894$, p<0.001)와 일상생활 수행능력(${\beta}=0.269$, p=0.04)이 노인 우울과 통계적으로 유의한 관련이 있었고, 사회인구학적 특성에 가족지지를 포함하여 분석한 Model 2의 경우, 노인 우울은 연령(${\beta}=1.483$, p=0.04), 주관적 건강상태(${\beta}=2.641$, p<0.001)와 가족지지(${\beta}=-0.144$, p<0.001)와 유의한 관련이 있었다. 사회인구학적 특성과 일상생활수행능력과 가족지지를 포함하여 분석한 Model 3의 결과, 노인우울은 주관적 건강상태(${\beta}=2.510$, p=0.001), 가족지지(${\beta}=-.135$, p<0.001)과 통계적으로 유의한 관련이 있었다. 이상의 연구결과를 통해 만성질환 입원노인들의 우울은 가족지지가 낮을수록, 주관적 건강상태가 나쁠수록 우울의 정도가 높음을 알 수 있었다. 노인 환자의 건강관리 방안을 마련할 때 가족지지 강화와 노인의 건강지각을 높일 수 있는 방안이 모색되어야 할 것으로 사료된다.

Keywords

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