Journal of Digital Convergence (디지털융복합연구)

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

DOI QR Code

Influences of Nutritional Status and Depression on Satisfaction with Life in Middle-Aged Long-Term Care Patients

중년기 장기요양 환자의 영양 상태, 우울이 삶의 만족도에 미치는 영향

  • Received : 2016.11.03
  • Accepted : 2017.01.20
  • Published : 2017.01.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to identify influences which nutritional status and depression have on satisfaction with life on middle-aged long-term care patients. This study is a descriptive study conducted with 120 patients aged 40-65 from February 1st to March 31th, 2015 in hospital. Data were analyzed using t-test, ANOVA, Scheff's test, Pearson's correlation coefficients, multiple regression. The average of nutrition status, depression, satisfaction of life was $15.85{\pm}3.85$, $24.70{\pm}15.85$, $3.54{\pm}1.22$ each. The findings show nutritional status(r=.281, p<.005) have correlation(+) with satisfaction of life, otherwise, nutritional status(r=.439, p<.001) and satisfaction of life(r=-.-574, p<.001) have correlation(-) with depression both. Influencing factors on satisfaction of life were subjective health(${\beta}=.387$, p=.000) and depression(${\beta}=.251$, p=.010), explained 36.0% of the variance. Therefore, management program for improving satisfaction of life is needed on middle-aged long term care patients.

본 연구의 목적은 중년기 장기요양 환자의 영양 상태와 우울이 삶의 만족도에 미치는 영향을 평가하는 데 있다. 본 연구는 40-65세의 병원입원 환자 120명을 대상으로 2015년 2월 1일부터 2015년 3월 31일까지 수행된 서술적 조사연구이다. 수집된 자료는 t-test, ANOVA, Scheff's test, Pearson's correlation coefficients와 multiple regression으로 분석하였다. 영양 상태, 우울, 삶의 만족도는 각각 평균 $15.85{\pm}3.85$, $24.70{\pm}15.85$, $3.54{\pm}1.22$점이었다. 영양 상태와 삶의 만족도(r=.281, p<.005)는 양의 상관 관계를 보인 반면, 영양 상태(r=-.439, p<.001), 삶의 만족도(r=-.574, p<.001)와 우울은 모두 음의 상관 관계를 보였다. 삶의 만족도에 영향을 미치는 요인은 주관적 건강(${\beta}=.387$, p=.000)과 우울(${\beta}=.251$, p=.010)이며, 36.0%의 설명력을 보였다. 그러므로, 중년기 장기 요양 환자들의 삶의 만족도 향상을 위한 관리 프로그램이 요구된다.

Keywords

References

  1. National Heath Insurance Service, "Long - Term Care Insurance statistical Yearbook", p.9,508,620, Won-Ju, Department of Big Data of National Heath Insurance Service, 2016.
  2. National Health Insurance, Information, http://www.nhis.or.kr/bbs7/boards/B0039/13429, February, 9, 2016.
  3. National Health Insurance, Information, http://www.nhis.or.kr/bbs7/boards/B0039/13436, February, 10, 2016.
  4. Y.S. Kwon, O.J. Park, "A study of Health Complaints and Cognition of Nursing Home in the Administrated Middle Aged Patients.", Journal of Korea Gerontological Nursing, Vol.7, No.2, p.148-156, 2005.
  5. O. Timer, F. Sestier, E. Levy. "Metabolic syndrome X", a review Can J Cardiol, Vol.16, No.6, p.779-789, 2000.
  6. J.E. Chu, "Influence of Life Patterns and Health status on Depressed Mood In Korean at the Age of 40, a Life Transition Period -Focused on Smoking, Alcohol Drinking, Physical Activity, Obesity, and Dietary Pattern." Master's dissertation, Ewha Womans University of Seoul, 2012, DOI: http://dx.doi.org/10.3746/jkfn.2014.43.5.772
  7. H,J. Lee ,J.H. Yoon, "Factors Associated with Self-Reported Depression, Diagnosis, and Treatment among Korean Adults ,Korean Journal of Health Promotion." Vol.14, No.1, p.9-16, 2014, ttp://dx.doi.org/10.15384/kjhp.2014.14.1.9
  8. S.H. Park, "The Effect of Their Mental Health for Managerial Characteristics in Chronic-disease Patients.", Master's dissertion, Catholic University of Pusan, 2013.
  9. E.O. Park. M.D. Kim, Y.J. Son, H.J. Song, S.C. Hong, "The Prevalence of Depression and Related Factors among Adults," Journal of Korean Academy Community Health Nurse, Vol. 20, No.3, p.227-284, 2009.
  10. K.M. Kyung, M.S. Hyun, J.A. Gu et al, "Human Growth and Development", p. 35, Seoul, Komoonsa published, 2014.
  11. Y.H. Jung, S. Ko, E.J. Kim, "A study on the effective chronic disease management." Korea Institute for Health and Social Affairs,Vol.12, 2013.
  12. M.J. Kim, K.B. Kim, "Influencing of Psychological Well-Being for the Middle Aged Adults and Elderly.", Journal of East-West Nursing Research, Vol.19, No.2, p.150-158, 2013. DOI: http://dx.doi.org/10.14370/jewnr.2013.19.2.150
  13. Masten, A.S., Cutuli, J.J., Herbers, J. E., & Reed, M. J. "Resilience in development. Oxford handbook of positive psychology.", p117, 2009. DOI:http://dx.doi.org/10.5860/choice.47-1719
  14. T.Y.An,"Development and validation of a Korean midlife esilience scale", Korean Journal of Counseling, Vol.14, No.5, p.2751-2781, 2013, DOI: http://dx.doi.org/10.15703 /kjc.14.5.201310.2751 https://doi.org/10.15703/kjc.14.5.201310.2751
  15. J.B. Park, "A study on the effect of life quality on self-esteem and crisis for middle-aged, Department of Social Welfare Majorin Clinical Psychology.", Master's dissertion, Sangmyung University, Seoul, 2008.
  16. H.K. Chang, "Influencing Factors on Health related Quality of Life in Middle Age.", Korean Journal Adult Nurse, Vol. 24, No.4, p.339-347, 2012. https://doi.org/10.7475/kjan.2012.24.4.339
  17. K.L. Becker, "Principles and practice of endocrinology and metabolism. Lippincott Williams & Wilkins.", 2001.
  18. D.E. Chung, K.M. Sung, "The Effects of an Integrated Management Program on Climacteric Symptoms and Depression in Middle-aged Women.", Journal of East-West Nursing Research, Vol.17, No.1, p.40-47, 2011.
  19. H.J. Jeon, J.M. Sim, K.C. Lee, "An Empirical Analysis of Effects of Depression on Suicidal Ideation of Korean Adults : Emphasis on 2008-2012 KNHANES Dataset." The Korea Contents Society, Vol.15, No.7, p.264-281, 2015, DOI: http://dx.doi.org/10.5392/jkca.2015.15.07.264
  20. H. Jung, "Deteriotating Nutritional status in an increasingly prosperous society." Korean Journal Nutrition. Vol. 38, No.9, p.777-785, 2005.
  21. H.J. Han, N.C. Kim, "Mini-Nutritional Assessment of Elders in Rural Areas.", Journal of korean Gerontological Nursing, Vol. 9, No.1, p.22-28, 2007.
  22. S.Y. Kim, J.I. Lee, "A Study on Aging Anxiety, Depression, and Self-esteem of Middle-aged People." Korean Journal of fundamentals of nursing, Vol.14, No.1, p.103-109, 2007.
  23. YH. Kang, "Effects of Family Support and Social Support on Life Satisfaction of Middle-Aged Men", The Korea Contents Society, Vol.16, No.2, p.344-355, 2016, DOI: http://dx.doi.org/10.5392/jkca.2016.16.02.344
  24. Yves Guigoz, Bruno Vellas, Philip J. Garry, "Assessing the Nutritional Status of the Elderly: The Mini Nutritional Assessment as Part of the Geriatric Evaluation", Nutrition Reviews, Vol. 54, No. 1, p.S59 - S65, 2009, DOI: http://dx.doi.org/10.1111/.1753-4887.1996.tb03793.x
  25. G.S. Lee, "Nutritional evaluation by using Mini Nutritional Assessment(MNA) and relating factors of postoperative recovery for elderly in gastric cancer", Master's dissertion, Kosin University, 2004.
  26. L.S. Radloff, "The CES-D scale: a self-report depression scale for research in the general population", Applied Psychological Measurement, Vol.1, No.3, p.385-401, 1977. DOI: http://dx.doi.org /10.1177/01462167700100306
  27. M.J, Cho, K.H, Kim, "Diagnostic Validity of the CES-D(Korean Version) in the Assessment of DSM-III-R Major Depression", Journal Korean Neuropsychiatric Association. Vol.32, No.3, p.381-399, 1993.
  28. E. Diener., R, Emmons., J, Larsen., S. Griffin., "The satisfaction with life scale", Journal Personality Assessment, Vol.49, No.1, p.71-75, 1985. https://doi.org/10.1207/s15327752jpa4901_13
  29. YJ. Ryu., "Effects of personality and needs level on subjective well-being", Master's dissertion, Yonsei University, 1996.
  30. Korea Centers for desease control and prevention, "Korea Health Statistics 2014 : Korea National Health and Nutrition Examination Survey (KNHANES VI-2), 2014", p. 30. 199. Ministry of health & welfare, 2015.
  31. YS. Kwon, "A study of Health Complaints and Cognition of Nursing Home in the Administrated Middle Aged Patients", Master's dissertion, Ho-Seo University, 2004.
  32. E. J. Cha, "Effects of Subjective Health Status on Life Satisfaction among Middle-aged and Aged People in Korea: Testing Mediating Effect of Depression", Korean Journal of Gerontological Social Welfare, Vol.70, p.53-80, 2015.
  33. Y.H. Park, "Middle-aged Adult's Anxiety About Aging and Attitudes Toward Death." Master's dissertion, Catholic Unversity, Busan, 2011.