DOI QR코드

DOI QR Code

성별에 따른 독거노인의 삶의 질에 영향을 주는 요인

Factors Influencing Quality of Life Elderly Who Live Alone, Depending on Gender

  • 투고 : 2018.10.16
  • 심사 : 2019.01.20
  • 발행 : 2019.01.28

초록

본 연구는 성별에 따른 독거노인 삶의 질의 영향요인을 파악하고자 시행되었다. 2013-2015년 국민건강영양조사대상자 22,948명 중 독거노인 959명 대상으로 하였다. IBM SPSS 23.0프로그램을 이용하여 복합표본을 형성한 후 복합표본 통계로 자료를 분석하였다. 두 그룹 간 나이, 교육수준, 칼로리 섭취, 관절염유무, 무릎통증, 허리통증, 알코올섭취 빈도와 양, 흡연유무, 주관적 건강과 삶의 질에서 유의한 차이가 나타났다. 남성 독거노인 삶의 질의 유의한 영향요인은 경제상태, 관절염유무, 활동제한, 주관적 건강이었고 이들의 설명력은 50.5%이었다(p<.001). 여성 독거노인 삶의 질의 유의한 영향요인은 허리통증, 주관적 건강, 자살생각이었고 이들의 설명력은 41.4%이었다(p<.001). 그러므로 독거노인의 삶의 질을 향상시키기 위해서는 성별에 따른 적절한 중재를 제공할 필요가 있다.

This study was conducted to investigate the factors affecting the quality of life of elderly who live alone according to gender. The participants in this study were 959 elderly living alone from a total of 22,948 individuals studied in the 2013-2015 Korean national health and nutrition examination survey. IBM SPSS 23.0 was used to analyze the data. There were significant differences between the two groups in age, level of education, and amount of calorie intake. Economic status, presence of arthritis, presence of restrict activity, subjective health status had an influence on quality of life in men with an explanatory power of 50.5% (p < .001). Presence of back pain, subjective health status, suicidal ideation had an influence on quality of life in women with an explanatory power of 41.4% (p < .001). Therefore, in order to improve the quality of life of elderly living alone, it is necessary to provide appropriate intervention depending on gender.

키워드

Table 1. General Characteristics of Two Groups

DJTJBT_2019_v17n1_365_t0001.png 이미지

Table 2. Physical and Psychological Factors of Two Groups

DJTJBT_2019_v17n1_365_t0002.png 이미지

Table 3. Influencing factors on quality of life

DJTJBT_2019_v17n1_365_t0003.png 이미지

참고문헌

  1. 2016 Elderly Statistics. (2016). Korea Statistical Office. Retrieved from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=356426
  2. Percentage of elderly living alone. (2017). Korea Statistical Office. Retrieved from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=4034
  3. Korea Institute for Health and Social Affairs. (2014). Korea Institute for Health and Social Affairs, 2014 Survey of Elderly. Retrieved from https://www.kihasa.re.kr/english/main.do
  4. I. Y. Han & S. D. Chung. (2002). Linkage Effects of New Social Support System for the Elderly Women Living Alone. Journal of the Korea Gerontological Society, 21(3), 145-156.
  5. H. S. Kim. (2017). Effect of Pain, Nutritional Risk, Loneliness, Perceived Health Status on Health-related Quality of Life in Elderly Women Living Alone. Journal of the Korea Convergence Society, 8(7), 207-218. https://doi.org/10.15207/JKCS.2017.8.7.207
  6. Y. J. Park, H. K. Jung, O. H. Anh & H. W. Shin. (2004). The relationship of loneliness, health behavior and self-esteem in elderly people. Journal of Korean Gerontological Nursing, 6(1), 91-98.
  7. C. Y. Koo, J. S. Kim & J. O. Yu. (2014). A study on factors influencing elders' suicidal ideation: Focused on comparison of gender differences. Journal of Korean Academy of Community Health Nursing, 25(1), 24-32. http://dx.doi.org/10.12799/jkachn.2014.25.1.24
  8. K. S. Kim. (2014). Effects of the Health Status and Health Behavior on Health-related Quality of Life of the Elderly Living Alone and Living with Their Families: Using Data from the 2014 Community Health Survey. Journal of Korean Academy of Community Health Nursing, 28(1), 78-87. http://dx.doi.org/10.12799/jkachn.2017.28.1.78
  9. S. E. Hong. (2013). Factors Affecting the Health-related Quality of Life in Vulnerable Young and Old-Old Elderly (Masters dissertation). Kyungbook National University, Daegu, Korea.
  10. Korea Institute for Health and Social Affairs. (2014). Survey of Elderly, Ministry of Health & Welfare 2014.
  11. S. Y. Kim & M. Y. Kim. (2003). The Relationship Among Pain, Depression and Ego Integrity in Day Care Center Elderly Peoples With Chronic Pain. Journal of Korean Gerontological Nursing, 5(1), 56-60.
  12. Ministry of Health and Welfare. (2013). Centers for Disease Control & Prevention, Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey[KNHANES V-3].
  13. E. F. Fuman. (2006). Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and interventions, Journal of Gerontological Nursing, 32(1), 22-27. https://doi.org/10.3928/0098-9134-20060101-11
  14. J. S. Park & Y. J. Yu. (2016). Convergence Factors Influencing the Quality of Life in the Elderly People Living Alone. Journal of Digital Convergence, 14(11), 63-70. http://dx.doi.org/10.14400/JDC.2016.14.11.63
  15. K. B. Kim, Y. J. Lee & S. H. Sok. (2008). A comparative study on health status, depression, and quality of life between the elderly living with family and the elderly living alone. The Journal of Korean Academic Society of Adult Nursing. 20(5), 765-777.
  16. N. Liu, N. Zeng, Z. Li & J. Wang. (2013). Health-related quality of life and long-term care needs among elderly individuals living alone: A cross-sectional study in rural areas of Shaanxi Province, China. Bio Med Central Public Health, 13(1), 1-7. http://dx.doi.org/10.1186/1471-2458-13-313
  17. M. S. Lee. (2009). Quality of Life, Perceived Health Status, Pain, and Difficulty of Activity of Daily Living of Degenerative Arthritis Patient in Island Residents. Korean Society for Agricultural Medicine & Community Health. 34(3), 291-302. https://doi.org/10.5393/JAMCH.2009.34.3.291
  18. J. H. Chun, H. J. Lee, M. H. Kim & J. S. Shin. (2003). Predictors of depression and quality of life among older adults with osteoarthritis. The Journal of Korean Academic Society of Adult Nursing, 15(4), 650-659.
  19. M. J. Kim & S. H. Bae. (2014). Factors influencing Health-related Quality of Life in Older Adults with Osteoarthritis: Based on the 2010-2011 Korea National Health and Nutrition Examination Survey. Journal of Muscle and Joint Health, 21(3), 195-205. http://www.dbpia.co.kr/Article/NODE06071869 https://doi.org/10.5953/JMJH.2014.21.3.195
  20. D. Tallon, J. Chard & P. Dieppe. (2000). Exploring the priorities of patients with osteoarthritis of the knee. Arthritis Care and Research, 13(5), 312-319. https://doi.org/10.1002/1529-0131(200010)13:5<312::AID-ANR11>3.0.CO;2-L
  21. S. M. Moon, (2017). Gender differences in the impact of socioeconomic, health-related, and health behavioral factors on the health-related quality of life of the Korean elderly. Journal of Digital Convergence, 15(6), 259-271. https://doi.org/10.14400/JDC.2017.15.6.259
  22. S. L. Seo & M. H. Kim. (2014). Influencing Factors on the Health-related Quality of Life of Older Adults Living Alone. Journal of the Korean Gerontological Society, 34(4), 705-716.
  23. J. S. Youn, J. S. Goh & Y. S. Won. (2016). Relationship Between Perceived Health Status, Future Time Perspective, Health Promoting Behaviors and Quality of Life in the Elderly. Journal of the Korean Gerontological Society, 36(4), 1191-1206.
  24. H. S. Kim. (2017). Effect of Pain, Nutritional Risk, Loneliness, Perceived Health Status on Health-related Quality of Life in Elderly Women Living Alone. Journal of the Korea Convergence Society, 8(7), 207-218. https://doi.org/10.15207/JKCS.2017.8.7.207
  25. H. S. Kim, H. K. Kim & B. J. Byun. (2015). Predictors of Pain, Perceived Health Status, Nutritional Risk, Social Support and Self-Transcendence on Depression Among Lower Income Senior Citizens, Indian Journal of Science and Technology, 8(S1), 178-188.
  26. K. N. Kim & Y. J. Jee. (2015). Predictors of Health-related Quality of Life in Korean Elderly: Based on the 2013 Korea National Health and Nutrition Examination Survey. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 5(3), 197-205. http://dx.doi.org/10.14257/AJMAHS.2015.06.22
  27. H. K. Lee & C. G. Chang. (2012). The Relations of Health-related Quality of Life, Mental Health, and Suicidal Ideation among Korean Elderly. Korean Public Health Research. 38(1), 69-79. https://doi.org/10.22900/KPHR.2012.38.1.007
  28. I. K. Seo & Y. S. Lee. (2015). A Mediation Effect of Depression between a Elderly's Abuse Experience and Considering Suicide: A comparative study on people who live alone and those who live with family. Korean Journal of Gerontological Social Welfare, 68, 7-35.
  29. H. O'Connell, A. V. Chin, Cunningham & B. A. Lawlor. (2004). Recent developments: Suicide in older people. British Medical Journal, 329(7471), 895-899. doi: 10.1136/bmj.329.7471.895