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한국 노인의 배우자 사별이 노쇠에 미치는 영향

Influence of spousal bereavement on frailty of the older adults in Korea

  • Gu, Hye-Ja (Department of Nursing Science, Kyungsung University)
  • 투고 : 2022.03.05
  • 심사 : 2022.05.20
  • 발행 : 2022.05.28

초록

본 연구는 국민건강영양조사 제7기 3차년도(2018) 자료를 이용하여 한국 노인의 배우자 사별과 노쇠의 관계를 규명하기 위해 시도되었다. 연구 대상자는 1,609명이었고, SPSS Win 26.0 프로그램으로 복합표본 빈도분석, 기술통계, 교차분석과 로지스틱 회귀분석을 실시하였다. 주요 결과로 대상자의 일반적 특성(연령, 소득수준, 교육수준, 독거여부)과 건강행태·질환관련 특성(신체활동 실천여부, 스트레스 인지정도, 주관적 건강 인지정도, 고혈압·뇌졸중·관절염·우울증 진단여부)을 동시에 보정한 대상자의 노쇠는 배우자 사별여부에 따라 유의한 결과를 나타내지 않았으나 낮은 연령, 높은 소득수준, 주관적 건강 인지정도가 좋을수록, 관절염이 없을 때 노쇠할 확률이 낮은 것으로 나타났다. 이상의 결과를 토대로 배우자를 사별한 노인의 노쇠를 관리하기 위해 지속적인 개인, 가족과 사회의 노력이 필요하다.

This study was attempted to investigate relationship between spousal bereavement and frailty in the Korean older adults using data from the 7th Korea National Health and Nutrition Examination Survey(KNHANES VII-3, 2018). The subjects were 1,609, complex sample frequency, descriptive statistics, cross and logistic regression analysis were performed using SPSS program. As a main result, frailty simultaneously adjusted for general, health behavior and disease characteristics did not show significant relationship between spousal bereavement, but frailty is significantly decreased 65~69, 70~74 years old, better of subjective health perception, no arthritis, significantly increased lower level of income. Finally personal, familiar and social efforts are required to manage the elderly who have lost their spouse.

키워드

참고문헌

  1. Statistics Korea Statistics Research Institute. (2015). Korean social trends 2015. Daejeon : Statistics Korea Statistics Research Institute.
  2. S. J. Jahng, J. O. Park & D. S. Heo. (2013). A case report of oriental medical treatments combined with exercise therapy on the frail elderly patient with gait disturbance and cognitive decline. Journal of Oriental Rehabilitation Medicine, 23(3), 211-217.
  3. C. O. Kim. (2019). Frailty and geriatric syndrome. The Korean association of internal medicine fall proceedings: Symposium on geriatric internal medicine(716-718). Seoul : The Korean Association of Internal Medicine.
  4. H. S. You et al. (2021). Clinical practice guideline for frailty applicable in primary care setting. Korean Journal of Family Practice, 11(4), 223-235. DOI : https://doi.org/10.21215/kjfp.2021.11.4.223
  5. M. J. Kim & H. S. Kim. (2018). A systematic review of risk factors of Korean elderly: Application of mHealth to frailty care. The Korean Gerontological Society Seminar: The 40th anniversary of the founding, the late 2018 academic conference(255-256). Seoul : The Korean Gerontological Society.
  6. Ministry of Health and Welfare & Korea Institute for Health and Social Affairs. (2020). Survey of the elderly 2020. Sejong : Ministry of Health and Welfare & Korea Institute for Health and Social Affairs.
  7. S. R. Um, H. L. Yun, H. R. Shin & Y. S. Kim. (2018). A study on the relationship between mobility and frailty in the elderly. The Korean Society of Gerontological Social Welfare spring proceedings(285-287). Seoul : The Korean Society of Gerontological Social Welfare.
  8. S. J. Park et al. (2016). Frailty, physical activity and functional fitness in the community-dwelling elderly. Korean Journal of Sport Science, 27(2), 234-244. DOI : 10.24985/kjss.2016.27.2.234
  9. K. I. Kim. (2010). Frailty: A core geriatric concept. Annals of geriatric medicine and research, 14(1), 1-7. DOI : 10.4235/jkgs.2010.14.1.1
  10. S. E. Cho, E. Y. Choi, Y. S. Oh, Y. S. Kim & S. B. Kim. (2017). Investigating the predictors of frailty: An age-dependent analysis. Health and Social Welfare Review, 37(3), 139-169. DOI : 10.15709/hswr.2017.37.3.139
  11. H. J. Kim, W. R. Na & C. M. Sohn. (2021). The effects of socioeconomic, psychological, and health behavior factors of the elderly on frailty: Mediating subjective health status and multimorbidity. Korean Journal of Human Ecology, 30(3), 429-440. DOI : http://dx.doi.org/10.5934/kjhe.2021.30.3.429
  12. S. E. Cho et al. (2017). The effects of health literacy on the relationship between the frailty and out-of-pocket medical expenses. Social Work Practice & Research, 14(2), 5-37.
  13. J. Monin, M. Doyle, B. Levy, R. Schulz, T. Fried & T. Kershaw. (2016). Spousal associations between frailty and depressive symptoms: Longitudinal findings from the cardiovascular health study. Journal of the American Geriatrics Society, 64(4), 824-830. DOI : http://lps3.doi.org.libproxy.ks.ac.kr/10.1111/jgs.14023
  14. J. O. Yang & Y. S. Kwak. (2019). The exercise-based analysis of the frail prevention in the elderly. Exercise Science, 28(3), 205-210. DOI : https://doi.org/10.15857/ksep.2019.28.3.205
  15. S. R. Um, H. J. Yun, H. R. Shin & Y. S. Kim. (2021). A study on the frailty of the elderly living alone: Focusing on the double mediating effect of health information comprehension ability and online health information pursuit behavior. The Korean Gerontological Society early academic conference(238-255). Seoul : The Korean Gerontological Society.
  16. J. H. Min & J. H. Kim. (2020). 10-year trajectories of cognitive functions among older adults: Focus on gender difference and spousal loss. Journal of the Korean Gerontological Society, 40(1), 147-161. DOI : https://doi.org/10.31888/JKGS.2020.40.1.147
  17. E. H. Jang & S. H. Hong. (2020). Factors influencing life satisfaction in widowhood among older women: A comparison of three age groups. Korea family resource management association, 24(2), 89-108. DOI : https://doi.org/10.22626/jkfrma.2020.24.2.005
  18. Statistics Korea. (2022.). International statistical yearbook: Life expectancy(G20). Statistics Korea. https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_2KAA209_G20&vw_cd=MT_RTITLE&list_id=UTIT_G20_A&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1&path=%25
  19. C. H. Vala et al. (2020). Increased risk for hip fracture after death of a spouse-further support for bereavement frailty? Osteoporosis International, 31(3), 485-492. DOI : http://lps3.doi.org.libproxy.ks.ac.kr/10.1007/s00198-019-05242-w
  20. Korea Centers for Disease Control and Prevention. (2021). The seventh Korea national health and nutrition examination survey (KNHANES VII-3). Cheongju : Korea Centers for Disease Control and Prevention; 2018.
  21. Y. S. Kwak. (2020). Immunosenescence and physical exercise intervention: For the prevention of senile disease. Exercise Science, 29(1), 1-3. DOI : https://doi.org/10.15857/ksep.2020.29.1.1
  22. S. M. Kim, S. H. Choi, J. E. Yoo & J. K. Lee. (2019). Association of grip strength with all-cause mortality and cause-specific mortality: Analysis of the Korean longitudinal study of ageing (2006-2016). Korean Journal of Family Practice, 9(5), 438-447. DOI : https://doi.org/10.21215/kjfp.2019.9.5.438
  23. Statistics Korea. (2020). 2019 Cause of death statistics results. Daejeon : Statistics Korea.
  24. Daejeon Metropolitan City. (2020). 2020 Daejeon metropolitan city living alone elderly registration statistics. Daejeon : Daejeon Metropolitan City.
  25. L. P. Fried et al. (2001). Frailty in older adults: Evidence for a phenotype. Journal of Gerontology: Medical Sciences, 56(3), M146-M156. DOI : https://doi.org/10.1093/gerona/56.3.M146
  26. O. Lee & Y. S. Kim. (2018). Association between grip strength as diagnostic criteria of sarcopenia and health-related quality of life in Korean elderly. The Korean Journal of Sports Medicine, 36(1), 15-23. DOI : https://doi.org/10.5763/kjsm.2018.36.1.15
  27. H. S. Hwang, I. S. Kwon, B. J. Park, B. L. Cho, J. L. Yoon & C. W. Won. (2010). The validity and reliability of Korean frailty index. Annals of Geriatric Medicine and Research, 14(4), 191-202. DOI : https://doi.org/10.4235/jkgs.2010.14.4.191
  28. Y. Jung, J. E. Bae, E. S. Song & N. S. Kim. (2018). Frailty and health care utilization among community-dwelling older adults. Journal of the Korean Gerontological Society, 38(4), 837-851. DOI : https://doi.org/10.31888/JKGS.2018.38.4.837
  29. Y. E. Kim & Y. R. Heo. (2021). Nutritional status according to the frailty status of the elderly at home in Seo-gu, Gwangju, Korea. Korean journal of community nutrition, 26(5), 382-395. DOI : https://doi.org/10.5720/kjcn.2021.26.5.382
  30. S. H. Lee & K. S. Park. (2021). Association between nutritional status, sarcopenia, and frailty in rural elders. Journal of agricultural medicine and community health, 46(1), 23-31. DOI : https://doi.org/10.5393/JAMCH.2021.46.1.023
  31. Y. H. Byun & W. Y. Park. (2020). Causes of age-related sarcopenia and frailty: The role of exercise and nutrition for prevention. Journal of the Korean Applied Science and Technology, 37(3), 625-634. DOI : https://doi.org/10.12925/JKOCS.2020.37.3.625
  32. S. Y. Han & S. I. Nam. (2021). A study on patterns in multidimensional social exclusion and depression among older widows. The Women's Studies, 109(2), 299-323. DOI : http://dx.doi.org/tws.2021.109.2.010 https://doi.org/10.33949/TWS.2021.109.2.010
  33. Y. R. Hwang & G. R. Hong. (2021). Experiences of spousal bereavement in aged men living alone. Journal of Korean Gerontological Nursing, 23(2), 187-199. DOI : https://doi.org/10.17079/jkgn.2021.23.2.187
  34. S. Nseir & L. K. Larkey. (2013). Interventions for spousal bereavement in the older adult: An evidence review. Death Studies, 37(6), 495-512. DOI : http://lps3.doi.org.libproxy.ks.ac.kr/10.1080/07481187.2011.649941
  35. W. J. Noh & S. I. Jeon. (2020). Factors affecting bereaved spouses' quality of life: A systematic review. The Korean Journal of Stress Research, 28(4), 254-261. DOI : https://doi.org/10.17547/kjsr.2020.28.4.254
  36. S. J. Chang. (2016). The factors influencing post-bereavement growth among widows/widowers in later life: Analysis according to gender. Korean Journal of Social Welfare Research, 51, 163-196. DOI : http://dx.doi.org/10.17997/SWRY.51.1.7
  37. A. A. Hayajneh & M. Rababa. (2022). The association of frailty with poverty in older adults: A systematic review. Dementia & Geriatric Cognitive Disorders, 50(5), 407-413. DOI : http://lps3.doi.org.libproxy.ks.ac.kr/10.1159/000520486
  38. J. S. Andrews, L. Trupin, K. D. Wysham, C. L. Hough, E. H. Yelin & P. P. Katz. (2019). The impact of frailty on changes in physical function and disease activity among adults with rheumatoid arthritis. ACR Open Rheumatology, 1(6), 366-372. DOI : https://doi.org/10.1002/acr2.11051
  39. H. S. Jee, J. B. Huh & J. H. Kim. (2019). Pre-clinical models and exercise effects for sarcopenia and frailty. The Korean Journal of Physical Education, 58(4), 423-433. DOI : http://dx.doi.org/10.23949/kjpe.2019.07.58.4.30
  40. C. O. Kim. (2015). Frailty. The Korean association of internal medicine fall proceedings: Symposium on geriatric internal medicine(358-361). Seoul : The Korean Association of Internal Medicine.