The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Effects of Health Promotion Behavior on Life Satisfaction of the Elderly - Focused on the Mediation Effect of the cognitive function

노인의 건강증진행위가 삶의 만족도에 미치는 영향 - 인지기능의 매개효과 중심 -

  • 김민성 (가천대학교 일반대학원 보건정책.관리전공 박사과정) ;
  • 이원재 (가천대학교 일반대학원 보건정책.관리전공 교수)
  • Received : 2020.07.27
  • Accepted : 2020.08.28
  • Published : 2020.10.28
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Abstract

This study analyzed 4,284 elderly people aged 65 or older by SPSS 22.0 in the 7th data of 「2018 Korean Longitudinal Study of Ageing(KLoSA)」 to confirm the effect of the health-promoting behavior of the elderly on life satisfaction through cognitive function. The cognitive function level of the subjects was 13.8% doubtful about dementia, 23.8% cognitive decline, and 62.4% normal, and the satisfaction level of life was 59.304 points. The results of the study were as follows: First, the difference in cognitive function according to demographic characteristics was significant in gender, age, education, religion, and marriage factors. Second, the satisfaction of the elderly's life according to demographic characteristics was confirmed to have significant differences in gender, age, education, religion, and marriage factors. Third, the satisfaction of the elderly's life was significantly positive in drinking and regular exercise factors among independent variable the health-promoting behavior when cognitive function was mediated. On the other hand, The significant negative effect of the restriction of daily life activities was confirmed. In this way, the mediating effect of cognitive function was verified in the effect of the health-promoting behavior on the satisfaction of the elderly life.

본 연구는 노인의 건강증진행위가 인지기능을 매개로 하였을 때 삶의 만족도에 미치는 영향을 확인하기 위하여 고령화 연구패널 2018년 7차 자료에서 만 65세 이상 노인 4,284명을 SPSS 22.0으로 분석하였다. 연구대상자의 인지기능 수준은 치매의심 13.8%, 인지기능저하 23.8%, 정상 62.4%이며 삶의 만족도는 59.304점으로 파악되었다. 연구결과는 첫째, 인구학적 특성에 따른 인지기능의 차이는 성별, 연령, 학력, 종교, 혼인 요인에서 유의미하였다. 둘째, 인구학적 특성에 따른 노인의 삶의 만족도는 성별, 연령, 학력, 종교, 혼인 요인에서 유의미한 차이가 확인되었다. 셋째, 노인의 삶의 만족도는 인지기능을 매개로 하였을 때 독립변수 건강증진행위 중 음주, 규칙적 운동 요인에서 정적인 효과가 유의미하게 확인되었다. 반면에 일상생활활동제한은 유의미한 부적인 효과가 확인되었다. 이와 같이 건강증진행위가 노인 삶의 만족도에 미치는 영향에서 인지기능의 매개효과를 검증하였다.

Keywords

References

  1. http://www.index.go.kr. 2020.08.10.
  2. Health Insurance Review and Assessment Service, National Health Insurance, 2018 Annual Report of Health Insurance Statistics, statistics office, 2019. 2020.08.10.
  3. D. B. Kim, "The study on the development of the Korean elderly's successful aging scale," Korean Academy of Social Welfare, Vol.60, No.1, pp.211-231, 2008.
  4. J. H. Moon and D. H. Kim, "Factors influencing life satisfaction in elderly living alone," The J. of the Korea Contents Association, Vol.18, No.1, pp.44-54, 2018. https://doi.org/10.5392/JKCA.2018.18.01.044
  5. E. S. Lee and J. S. Park, "The comparison of health promotion behavior, post traumatic growth and quality of life according to stages of survivorship in patients with female genital neoplasm," Korean J Adult Nurs, Vol.25, No.3, pp.312-321, 2013. https://doi.org/10.7475/kjan.2013.25.3.312
  6. S. I. Lee, "The relationship between the sports activity participation and the quality of the health promoting lifestyle of the Women Breast Cancer Patients," The Korean Society of Sports Science, Vol.19, No.2, pp.631-643, 2010.
  7. C. H. Koo, "Factors affecting life satisfaction of the elderly in seoul metropolitan city," Modern Society and Public Administration, Vol.25, No.2, pp.281-300, 2015.
  8. Y. A. Lim, T. S. Shin, and Y. C. Cho, "The association of physical and mental function with quality of life among the elderly at care facilities," J. of the Korea Academia-Industrial cooperation Society, Vol.19, No.4, pp.301-310, 2018.
  9. M. A. Chae, J. I. Kim, K. S. Choi, and K. H. Han, "Subjective health and factors of health-related quality of life in elderly Haenyo," Korean J. Women Health Nurs, Vol.24, No.2, pp.105-115, 2018. https://doi.org/10.4069/kjwhn.2018.24.2.105
  10. W. G. HEO, "Life satisfaction development trajectory and health characteristics factor of the elderly," Social Welfare Policy, Vol.44, No.2, pp.297-318, 2017. https://doi.org/10.15855/swp.2017.44.2.297
  11. M. S. Lee, "Health-related factors influencing the quality of life of rural elderly subjects-activities of daily living, cognitive functions, prevalence of chronic diseases and nutritional assessment," Korean J. Community Nutr, Vol.17, No.6, pp.772-781, 2012. https://doi.org/10.5720/kjcn.2012.17.6.772
  12. https://www.nid.or.kr/info/today_list.aspx. 2020.08.15.
  13. M. H. Jung, "HIRA Policy Trends for Dementia Disease Care," Vol.12, No.4, pp.78-85, 2018.
  14. H. R. JI, Effects of dementia nursing intervention program on cognitive function, depression, activities of daily living, and social behavior in the elderly with mild dementia, Chonnam national University, doctoral dissertation, 2003.
  15. B. H. Lee, J. S. Park, and N. R. Kim, "The effect of physical activity program on cognitive function, physical performance, gait, quality of life and depression in the elderly with dementia," J. of Special Education & Rehabilition Science, Vol.50, No.2, pp.307-328, 2011.
  16. https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=301582 2014. 2020.08.15.
  17. M. U. Chun, The relationship between health-related physical fitness, depression, and quality of life of the elderly: cognitive function as a parameter, Chungang University, doctoral dissertation, 2019.
  18. S. M. Lee, Effects of lifestyle of the older women on the health promotion behaviors and life satisfaction, Hoseo University, doctoral dissertation, 2012.
  19. J. Lubitz, L. Cai, E. Kramarow, and H. Lentzner, "Health, life expectancy, and health care spending among the elderly," The New England J. of Medicine, Vol.349, No.11, pp.1048-1055, 2003. https://doi.org/10.1056/NEJMsa020614
  20. I. S. Kim, "New Horizon of New Age Medical Care," Korean J. of Nursing Query, Vol.2, No.2, pp.12-20, 1993.
  21. J. S. Brown and M. McCreedy, "The hale elderly: health behavior and its corrections," research in nursing & health, Vol.9, No.3, pp.317-329, 1986. https://doi.org/10.1002/nur.4770090409
  22. J. P. Jung, Health effects on quality of life by health-promoting behaviors of the elderly, Daeguhaany University, doctoral dissertation, 2012.
  23. K. N. Kim and Y. J. Jee, "Predictors of health-related quality of life in korean elderly: based on the 2013 Korea National Health and Nutrition Examination Survey," Asia-pacific J. of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.5, No.3, pp.197-205, 2015.
  24. J. Y. Kim, S. G. Lee, and S. K. Lee, "The relationship between health behaviors, health status, activities of daily living and health-related quality of life in the elderly," J. of the Korean Gerontological Society, Vol.30, No.2, pp.471-484, 2010.
  25. J. C. Morris, E. H. Rubib, E. J. Morris, and S. A. Madel, "Senile dementia of the alzheimer's type: an important risk factor for serious falls," J. of Gerontology, Vol.42, pp.412-417, 1987. https://doi.org/10.1093/geronj/42.4.412
  26. Carol, van Doorn, "Dementias a risk factor for falls and fall injuries among nursing home residents," J. of American Geriatrics society, Vol.51, pp.1213-1218, 2003. https://doi.org/10.1046/j.1532-5415.2003.51404.x
  27. J. K. Kim, H. S. Kim, and B. H. Chong, "The effects of small group physical activities on demented old adults' cognitive functions," J. of Occupational Therapy for the Aged and Dementia, Vol.2, No.2, pp.13-24, 2008.
  28. J. H. Han, J. E. Lee, J. H. Park, and S. H. Lee, "Effect of a 12 week-aerobic exercise program on physical fitness, depression, and cognitive function in the elderly," Exercise Science, Vol.23, No.4, pp.375-385, 2014. https://doi.org/10.15857/ksep.2014.23.4.375
  29. D. H. Kang, H. J. Kim, D. H. Yoon, J. S. Kim, and W. Soong, "Effects of 12 weeks high-speed elastic band training on cognitive function, physical performance and muscle strength in older women with mild cognitive impairment: a randomized controlled trial," Korean J. Health Promote, Vol.14, No.1, pp.26-32, 2014. https://doi.org/10.15384/kjhp.2014.14.1.26
  30. M. J. Park, "The cognition, balance, and quality of life in the elderly," J. of korean biological nursing science, Vol.13, No.2, pp.185-192, 2011.
  31. R. I. Hwang, J. Y. Lim, and Y. W. Lee, "A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level," J. Korean Acad Nurs, Vol.39, No.5, pp.622-631, 2009. https://doi.org/10.4040/jkan.2009.39.5.622
  32. M. J. Park, "The cognition, balance, and quality of life in the elderly," J. of korean biological nursing science, Vol.13, No.2, pp.185-192, 2011.
  33. Korea Employment Information Service guides users of the 2020 Aging Research Panel, 2020.
  34. http://www.nid.or.kr/. 2020.08.10.
  35. H. J. Kim, "The impact of self-leadership on job satisfaction by social workers on the mediated effect of self-efficacy," J. of the Korea Contents Association, Vol.20, No.3, pp.49-58, 2020. https://doi.org/10.5392/JKCA.2020.20.03.049
  36. B. G. Kim and S. C. Kim, "The mediating effects of family factors and friendship factors on adolescent depression: differences between the low-income group and the middle-class," J. of the Korea Contents Association, Vol.17, No.12, pp.493-504, 2017. https://doi.org/10.5392/JKCA.2017.17.12.493
  37. K. H. Lee, J. W. Choi, N. E. Lee, S. G. Kang, H. Y. Jung, M. U. Chun, H. N. Yoo, J. S. Park, and J. S. Park, "Relationship between health-related physical fitness, cognitive function and isolation in the elderly," J. of the Korea Convergence Society, Vol.9, No.4, pp.285-301, 2018. https://doi.org/10.15207/JKCS.2018.9.4.285
  38. M. W. Shin, K. S. Ahn, and Y. C. Cho, "Factors related to quality of life in the elderly people in long-term care centers," J. of the Korea Academia-Industrial cooperation Society, Vol.18, No.6, pp.524-537, 2017. https://doi.org/10.5762/KAIS.2017.18.6.524
  39. H. K. Lee and K. H. Lee, "Health-related factors influencing cognitive impairment of the elderly in primary health care posts: with focus on eating habits, activities of daily living, alcohol drinking, and smoking," J. of the Korean Data Analysis Society, Vol.18, No.2, pp.965-979, 2016.
  40. J. Y. Lee, "Risk factors to cognitive function and life satisfaction in elderly living alone," The Korean Society of Stress Medicine, Vol.26, No.4, pp.259-267, 2018. https://doi.org/10.17547/kjsr.2018.26.4.259
  41. K. N. Kim, H. Y. Lee, and S. J. Kim, "Factors related to cognitive function decline by socio-demographic and health-related characteristics: based on Korean Longitudinal Study of Ageing(KLoSA) Panel Data," The Korean J. of Health Service Management, Vol.14, No.1, pp.137-146, 2020. https://doi.org/10.12811/kshsm.2020.14.1.137
  42. S. Y. Um, and Y. S. Kwak, "The effects of regular exercise on cognitive function and blood lipid in woman patient with senile dementia," Korean J. of Sport Science, Vol.15, No.1, pp.57-65, 2004.
  43. T. M. Gill, E. D. Richardson, and M. E. Tinetti, "Evaluating therisk of dependence in activities of daily living among community-living older adults with mild cognitive impairment," J. of Gerontology, Vol.50, pp.235-241, 1995.
  44. J. S. Park, Y. W. Lee, and H. S. Kim, "Cognitive impairment risk factors in elders," J. Korean Gerontol Nurs, Vol.17, No.3, pp.121-130, 2015. https://doi.org/10.17079/jkgn.2015.17.3.121