DOI QR코드

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선택·적정화·보완(SOC) 이론에 근거한 만성폐쇄성폐질환을 가진 노인의 성공적 노화 구조모형

Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy

  • 장영미 (대전과학기술대학교 간호학부) ;
  • 송라윤 (충남대학교 간호대학)
  • Jang, Young Mi (Department of Nursing, Daejeon Institute of Science and Technology) ;
  • Song, Rhayun (College of Nursing, Chungnam National University)
  • 투고 : 2016.12.08
  • 심사 : 2017.07.07
  • 발행 : 2017.08.31

초록

Purpose: The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies. Methods: Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0. Results: The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging. Conclusion: The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.

키워드

참고문헌

  1. Statistics Korea. Aging index [Internet]. Daejeon: Author; 2016 [cited 2016 November 15]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_2KAA202&conn_path=I2.
  2. Rowe JW, Kahn RL. Human aging: Usual and successful. Science. 1987;237(4811):143-149. http://dx.doi.org/10.1126/science.3299702
  3. Rowe JW, Kahn RL. Successful aging 2.0: Conceptual expansions for the 21st century. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences. 2015;70(4):593-596. http://dx.doi.org/10.1093/geronb/gbv025
  4. Rowe JW, Kahn RL. Successful aging. The Gerontologist. 1997;37(4):433-440. http://dx.doi.org/10.1093/geront/37.4.433
  5. Lee SJ, Song M. Successful aging of Korean older adults based on Rowe and Kahn's model: A comparative study according to the use of community senior facilities. Journal of Korean Academy of Nursing. 2015;45(2):231-239. http://dx.doi.org/10.4040/jkan.2015.45.2.231
  6. McLaughlin SJ, Connell CM, Heeringa SG, Li LW, Roberts JS. Successful aging in the United States: Prevalence estimates from a national sample of older adults. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences. 2010;65b(2):216-226. http://dx.doi.org/10.1093/geronb/gbp101
  7. Han S, Yun SN. Successful aging and the influencing factors in the Korean elderly: Focused on family support. Journal of Korean Academy of Community Health Nursing. 2015;26(4):372-379. http://dx.doi.org/10.12799/jkachn.2015.26.4.372
  8. Jeong YH, Ko SJ, Kim EJ. A study on the effective chronic disease management. Seoul: Korea Institute for Health and Social Affairs, 2013. Report No.: Research Report 2013-31-19.
  9. Celli BR, Decramer M, Wedzicha JA, Wilson KC, Agusti A, Criner GJ, et al. An official American Thoracic Society/European Respiratory Society Statement: Research questions in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. 2015;191(7):e4-e27. http://dx.doi.org/10.1164/rccm.201501-0044ST
  10. Jang JH, Ryu SD, Kim HS, Lee KM, Jung SP. Association between physical activity and hypertension in chronic obstructive pulmonary disease. Korean Journal of Health Promotion. 2016;16(2):77-83. http://dx.doi.org/10.15384/kjhp.2016.16.2.77
  11. Ouwehand C, de Ridder DT, Bensing JM. A review of successful aging models: Proposing proactive coping as an important additional strategy. Clinical Psychology Review. 2007;27(8):873-884. http://dx.doi.org/10.1016/j.cpr.2006.11.003
  12. Freund AM, Baltes PB. Selection, optimization, and compensation as strategies of life management: Correlations with subjective indicators of successful aging. Psychology and Aging. 1998;13(4):531-543. http://dx.doi.org/10.1037/0882-7974.13.4.531
  13. Solomon R, Peterson M. Successful aging: How to help your patients cope with change. Geriatrics. 1994;49(4):41-47.
  14. Oh DN. Structural equation modeling on successful aging in elders: Focused on selection, optimization, compensation strategy. Journal of Korean Academy of Nursing. 2012;42(3):311-321. http://dx.doi.org/10.4040/jkan.2012.42.3.311
  15. Young Y, Frick KD, Phelan EA. Can successful aging and chronic illness coexist in the same individual? A multidimensional concept of successful aging. Journal of the American Medical Directors Association. 2009;10(2):87-92. http://dx.doi.org/10.1016/j.jamda.2008.11.003
  16. Donnellan C, O'Neill D. Baltes' SOC model of successful ageing as a potential framework for stroke rehabilitation. Disability and Rehabilitation. 2014;36(5):424-429. http://dx.doi.org/10.3109/09638288.2013.793412
  17. Gignac MA, Cott C, Badley EM. Adaptation to disability: Applying selective optimization with compensation to the behaviors of older adults with osteoarthritis. Psychology and Aging. 2002;17(3):520-524. http://dx.doi.org/10.1037/0882-7974.17.3.520
  18. O'Donnell DE, Banzett RB, Carrieri-Kohlman V, Casaburi R, Davenport PW, Gandevia SC, et al. Pathophysiology of dyspnea in chronic obstructive pulmonary disease: A roundtable. Proceedings of the American Thoracic Society. 2007;4(2):145-168. http://dx.doi.org/10.1513/pats.200611-159CC
  19. Bae BR. Structural equation modeling with Amos 19: Principles and practice. Seoul: CRBooks; 2011.
  20. Jalowiec A, Murphy SP, Powers MJ. Psychometric assessment of the Jalowiec Coping Scale. Nursing Research. 1984;33(3):157-161. http://dx.doi.org/10.1097/00006199-198405000-00008
  21. Tae YS, Kang ES, Lee MH, Park GJ. The relationship among perceived social support. hope and quality of life of cancer patients. The Korean Journal of Rehabilitation Nursing. 2001;4(2):219-231.
  22. Baltes PB, Baltes MM, Freund AM, Lang F. The measurement of selection, optimization, and compensation (SOC) by self report: Technical report. Berlin, DE: Max-Planck-Institut fur Bildungsforschung; 1999.
  23. Kinsman RA, Yaroush RA, Fernandez E, Dirks JF, Schocket M, Fukuhara J. Symptoms and experiences in chronic bronchitis and emphysema. Chest. 1983;83(5):755-761. http://dx.doi.org/10.1378/chest.83.5.755
  24. Oh EG. Physical, psychological symptoms and the degree of dyspnea perception in patients with COPD [master's thesis]. Seoul: Yonsei University; 1990. p. 1-47.
  25. Stenton C. The MRC breathlessness scale. Occupational Medicine. 2008;58(3):226-227. http://dx.doi.org/10.1093/occmed/kqm162
  26. Kim YS. A study on the effects of successful aging in sibling relationship feature at old age [master's thesis]. Seoul: Sungshin Women's University; 2006. p. 1-80.
  27. Baker CF, Scholz JA. Coping with symptoms of dyspnea in chronic obstructive pulmonary disease. Rehabilitation Nursing. 2002;27(2):67-73. http://dx.doi.org/10.1002/j.2048-7940.2002.tb01987.x
  28. Lee SH, Jang HS, Yang YH. The influence of subjective health status, post-traumatic growth, and social support on successful aging in middle-aged women. Journal of Korean Academy of Nursing. 2016;46(5):744-752. http://dx.doi.org/10.4040/jkan.2016.46.5.744
  29. Smith ML, Honore Goltz H, Ahn S, Dickerson JB, Ory MG. Correlates of chronic disease and patient-provider discussions among middle-aged and older adult males: Implications for successful aging and sexuality. The Aging Male. 2012;15(3):115-123. http://dx.doi.org/10.3109/13685538.2011.641184
  30. Kahana E, Kahana B. Successful aging among people with HIV/AIDS. Journal of Clinical Epidemiology. 2001;54(Suppl 1):S53-S56. http://dx.doi.org/10.1016/S0895-4356(01)00447-4
  31. Kanervisto M, Saarelainen S, Vasankari T, Jousilahti P, Heistaro S, Heliovaara M, et al. COPD, chronic bronchitis and capacity for day-to-day activities: Negative impact of illness on the health-related quality of life. Chronic Respiratory Disease. 2010;7(4):207-215. http://dx.doi.org/10.1177/1479972310368691

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