재활치료과학 (Therapeutic Science for Rehabilitation)

  • 제11권1호
  • /
  • Pages.87-99
  • /
  • 2022
  • /
  • 2635-9340(pISSN)
  • /
  • 2671-4329(eISSN)
대한신경계작업치료학회 (Korean Society of Neurological Occupational Therapy)
권호 표지
DOI QR코드

DOI QR Code

지역사회 거주 노인의 인지 향상 프로그램 참여 의사 결정 요인에 관한 연구: 앤더슨 행동 모형(Anderson model)의 적용

A Study on the Factors for the Elderly Living in the Community to Determine Their Participation in the Cognitive Improvement Program: With the Application of Anderson Model

  • 이혜식 (연세대학교 대학원 작업치료학과) ;
  • 박다솔 (전주기전대학 작업치료학과) ;
  • 박혜연 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Lee, Hey Sig (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Park, Da Sol (Dept. of Occupational Therapy, Jeonju Kijeon College) ;
  • Park, Hae Yean (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University)
  • 투고 : 2020.12.08
  • 심사 : 2021.03.05
  • 발행 : 2022.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적 : 본 연구는 앤더슨 행동 모형의 적용을 통해 지역사회 거주 노인의 인지 향상 프로그램의 참여 의사 결정 요인에 대한 실증적인 분석하고자 한다. 연구방법 : 본 연구의 표집 방법은 온라인 설문조사 형태로 시행되었으며, 대상자는 국내 지역사회 거주 65세 이상 노인이었다. 2020년 8월부터 9월까지 2개월에 걸쳐 시행되었으며, 설문에 참여한 대상자는 총 154명이었다. 결과 : 본 연구의 주요 결과로는 첫째, 소인 요인의 성별, 연령, 지역적 특성, 최종학력, 그리고 경제적 상태는 인지 향상 프로그램 참여 의사 간의 상관관계가 없었다. 둘째, 가능성 요인 중 프로그램의 다양성, 흥미도, 그리고 효과성은 인지 향상 프로그램 참여 의사 간에 상관관계가 있었지만, 프로그램의 난이도, 참신성 그리고 전자기기 사용 능력은 인지 향상 프로그램 참여 의사 간의 상관관계가 없었다. 셋째, 욕구 요인의 만성질환 유무, 주관적 건강 상태, 그리고 일상생활 제한 여부는 인지 향상 프로그램 참여 의사 간의 상관관계가 없었다. 결론 : 본 연구의 결과 분석을 통한 기초적 정보와 근거의 결과를 파악하여, 추후 인지 향상 프로그램의 개발에 대한 시사점을 얻을 수 있으리라 생각된다.

Objective : Through the application of the Anderson model, this study provides an empirical analysis of the decision-making factors for participation in cognitive improvement programs for the elderly living in the community. Methods : This study was conducted through an online survey. The participants were elderly people aged 65 years or older living in the community. The survey had 154 participants and was conducted over a two-month period from August to September 2020. Results : The main results of this study were as follow: first, there was no correlation between the predisposing factors and cognitive improvement program; second, among the enabling factors, diversity, interest, and effectiveness of the program were correlated with the cognitive improvement program; and third, there was no correlation between participation in the cognitive improvement program and need factors. Conclusion : This study shows that the results of basic information and evidence will be identified through analysis of the results of the study and that the implications for the development of cognitive improvement programs will be obtained in the future.

키워드

과제정보

이 성과는 2020년도 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임 (NRF-2020R1C1C1011374).

참고문헌

  1. Andersen, R., & Newman, J. F. (1973). Societal and individual determinants of medical care utilization in the United States. The Milbank Memorial Fund Quarterly: Health and Society, 51(1), 95-124. https://doi.org/10.1111/j.1468-0009.2005.00428.x
  2. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1-10. https://doi.org/10.2307/2137284
  3. Cho, C. Y. (2019). The impact of participation in senior citizen center programs in rural areas on happiness: Double mediating effects of depression and program satisfaction. Social Work Practice & Research, 16(1), 41-71. https://doi.org/10.38082/SWPR.2019.16.01.41
  4. Cox, D., & Snell, E. J. (1989). The Analysis of Binary Data. Chapman and Hall.
  5. Han, J. H., Lee, J. E., Park, J. H., Lee, S. H., & Kang, H. S. (2014). Effect of a 12 week-aerobic exercise program on physical fitness, depression, and cognitive function in the elderly. Exercise Science, 23(4), 375-385. https://doi.org/10.15857/ksep.2014.23.4.375
  6. Hongoro, C., & McPake, B. (2004). How to bridge the gap in human resources for health. The Lancet, 364(9443), 1451-1456. https://doi.org/10.1016/S0140-6736(04)17229-2
  7. Hosmer, D. W., Lemeshow, S., & Rodney, X. S. (2000). Applied logistic regression. Wiley.
  8. Ihm, J., & Hsieh, Y. P. (2015). The implications of information and communication technology use for the social well-being of older adults. Information, Communication & Society, 18(10), 1123-1138. https://doi.org/10.1080/1369118X.2015.1019912
  9. Kang, H. S. (2011). The study of senior centers leisure activity program improvement method: Focused on Seong-Nam city (Master's thesis). Kyungwon University, Seong-Nam.
  10. Kim, D. R. (2017). An integrative review of nonpharmacological intervention in elderly patients with mild cognitive impairment. Journal of the Korea Convergence Society, 8(5), 243-253. https://doi.org/10.15207/JKCS.2017.8.5.243
  11. Kim, S. S., & Ryu, S. W. (2011). Structural relationships among factors to adoption of telehealth service. Asia Pacific Journal of Information Systems, 21(3), 71-96.
  12. Kwak, J. H., & Choi, W. K. (2016). Relationship of the usage of senior centers, leisure activity participation, degree of program visualization and life satisfaction in rural elderly people. Journal of Social Welfare Management, 3(1), 29-44.
  13. Lee, D. Y., & Park, J. D. (2011). A study on the factors for the elderly living alone at home to determine their participation in a health promotion activity program: With the application of Anderson model. Social Welfare Policy, 38(4), 1-23. https://doi.org/10.15855/swp.2011.38.4.1
  14. Lee, I. J. (2004). The determinants of community service utilization among family caregivers of the impaired older persons. Korean Journal of Social Welfare, 56(3), 183-205.
  15. Lee, S. Y., & Lee, J. S. (2004). A study on the elderly people's education of Seoul metropolitan region. Korea Local Autonomy Society, 16(2), 121-145.
  16. Park, K. H., Won, K. A., & Park, J. H. (2019). A systematic study on the multifaceted lifestyle assessment tools for community-dwelling elderly: Trend and application prospect. Therapeutic Science for Rehabilitation, 8(3), 7-29. https://doi.org/10.22683/tsnr.2019.8.3.007
  17. Statistics Korea. (2018). Population census. http://kosis.kr/index/index.do
  18. Um, K. W., & Park, I. A. (2005). A study on managing state and improving way of senior centers in Gunsan city. Journal of Welfare for the Aged, 30, 29-51.