DOI QR코드

DOI QR Code

자살예방프로그램이 농촌 거주 저소득 80세 이상 여성 노인의 통증, 우울, 삶의 의미 및 자살생각에 미치는 효과

Effects of a Suicide Prevention Program on Pain, Depression, Meaning of Life, and Suicidal ideation of Low-income Women aged 80 or older in Rural Area

  • 오현주 (대전과학기술대학교 간호학과) ;
  • 강문희 (충남대학교 간호학과)
  • Oh, Hyun Joo (Dept. of Nursing Science, Daejeon Institute of Science & Technology) ;
  • Gang, Moon Hee (College of Nursing, Chungnam National University)
  • 투고 : 2022.04.05
  • 심사 : 2022.06.20
  • 발행 : 2022.06.28

초록

본 연구의 목적은 자살예방프로그램이 농촌에 거주하는 저소득 80세 이상 여성 노인의 통증, 우울, 삶의 의미 및 자살 생각에 미치는 효과를 파악하는 것이다. 본 연구는 비동등성 대조군 전후설계를 이용하였다. 연구대상자는 O와 G 지역에 거주하며 노인 일자리 사업에 참여 중인 80세 이상 여성 노인 89명이다(실험군=45명, 대조군=44명). 실험군은 주 1회, 총 8회기의 자살예방프로그램에 참여하였다. 수집된 자료는 SPSS 26.0 프로그램을이용하여 서술통계, 𝑥2-test, t-test를 이용하여 분석하였다. 중재 후 실험군과 대조군 간에 우울(t=-2.19, p=.031), 삶의 의미(t=2.13, p=.036), 자살생각(t=-2.11, p=.038)에서 유의한 차이가 있었다. 따라서 본 연구의 프로그램은 대상자의 삶의 의미 증가, 우울과 자살생각의 감소에 유의한 효과가 있음이 확인되었다.

The purpose of this study was to examine the effects of a suicide prevention program on pain, depression, meaning of life, and suicidal ideation of low-income women aged 80 or older in rural area. A non-equivalent control group pre-post test study design was used. The participants were 89 women, aged 80 or older of a project for employment from O & K province. (experimental group = 45, control group = 44). The experimental group were participated in a total of eight-session, once a week. The collected data were analyzed with descriptive statistics, 𝑥2-test, t-test using SPSS 26.0 program. After a eight-week of intervention, the experimental group showed significant differences in depression (t=-2.19, p=.031), meaning of life (t=2.13, p=.036), and suicidal ideation (t=-2.11, p=.038). Therefore, the study program has proven to be effective in reducing depression and suicidal ideation, and improving the meaning of life of participants.

키워드

참고문헌

  1. Korea Suicide Prevention Center. (2021). White book. Annual report. Seoul: Korea Suicide Prevention Center; 2021 July. Report No.: ISSN 2508-2485.
  2. Statistics Korea. (2021). 2020 annual report on the cause of death statistics [Internet]. Daejeon: Author; c2021 [cited 2021 September 28]. Available from : https://kostat.go.kr/portal/korea/kor_nw/1/6/2/index.board?bmode=read&bSeq=&aSeq=403046&pageNo=1&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=
  3. M. Li & S. V. Katikireddi. (2019). Urban-rural inequalities in suicide among elderly people in China: a systematic review and meta-analysis. International Journal for Equity in Health, 18(2). DOI : 10.1186/s12939-018-0881-2
  4. J. B. Lee & J. V. Lee. (2020). Statistical analysis of the factors of suicidal ideation risk of Korean elderly: Using a panel logit GLMM. Health and Social Welfare Review, 40(4), 264-294. DOI : 10.15709/hswr.2020.40.4.264
  5. C. Crestani, V. Masotti, N. Corradi, M. L. Schirripa & R. Cecchi. (2019). Suicide in the elderly: a 37-years retrospective study. Acta bio-medica : Atenei Parmensis, 90(1), 68-76. DOI : 10.23750/abm.v90i1.6312
  6. E. D. Klonsky, A. M. May & B. Y. Saffer. (2016). Suicide, Suicide Attempts, and Suicidal Ideation. Annual review of clinical psychology, 12, 307-330. https://doi.org/10.1146/annurev-clinpsy-021815-093204
  7. J. Y. Lee & Y. S. Moon. (2015). Effects of chronic pain and social support on depression and suicide in the elderly. Journal of digital convergence, 13(10), 445-458. DOI : 10.14400/JDC.2015.13.10.445
  8. S. Hupkens, A. Machielse, M. Goumans & P Derkx. (2018). Meaning in life of older persons: an integrative literature review. Nursing ethics, 25(8), 973-991. DOI : 10.1177/0969733016680122
  9. M. J. Heisel, E. Neufeld & G. L. Flett. (2016). Reasons for living, meaning in life, and suicide ideation: investigating the roles of key positive psychological factors in reducing suicide risk in community-residing older adults. Aging & Mental Health, 20(2), 195-207. https://doi.org/10.1080/13607863.2015.1078279
  10. S. I. Nam, J. H. Si, Y. F. Jeong & J. S. Chae. (2019). Meaning in life, depression, and suicidal ideation in old age : a comparative study of living alone and not living alone older adults. Journal of Welfare for the Aged Institute, 74(2), 163-192.
  11. E. M. Kleiman & J. K. Beaver. (2013). A meaningful life is worth living: Meaning in life as a suicide resiliency factor. Psychiatry research, 210(3), 934-939. https://doi.org/10.1016/j.psychres.2013.08.002
  12. T. Gwon & H. Choi. (2019). A Systematic review of the suicide prevention program for the ederly. Stress, 27(1), 53-63. DOI : 10.17547/kjsr.2019.27.1.53
  13. H. J. Oh, M. Gang & M. S. Kim. (2020). Development and effect of a salutogenic program for rural elderly women on depression and suicidal ideation. Issues Mental Health Nursing, 15, 1-13. https://doi.org/10.3109/01612849409074929
  14. H. J. Oh & M. Gang. (2019). The Effect of the happy village convergence program on the depression, meaning of life and suicidal ideation of the elderly women in rural area. Journal of Digital Convergence, 17(9), 487-493. DOI : 10.14400/JDC.2019.17.9.487
  15. A. L. Holm, E. Salemonsen & E. Severinsson. (2021). Suicide prevention strategies for older persons-An integrative review of empirical and theoretical papers. Nursing open, 8(5), 2175-2193. DOI : 10.1002/nop2.789.
  16. G. A. Hawker, S. Mian, T. Kendzerska & M. French. (2011). Measures of adult pain: visual analog scale for pain (VAS Pain), numeric rating scale for pain (NRS Pain), McGill pain questionnaire (MPQ), short-form McGill pain questionnaire (SF-MPQ), chronic pain grade scale (CPGS), short form-36 bodily pain scale (SF-36 BPS), and measure of intermittent and constant osteoarthritis pain (ICOAP). Arthritis Care & Research, 63(11), 240-252. https://doi.org/10.1002/acr.20345
  17. K. Kroenke, R. L. Spitzer & J. B. Williams. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of general internal medicine, 16(9), 606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  18. H. S. Choi, J. H. Choi, K. H. Park, K. J. Joo, H. Ga, H. J. Ko & S. R. Kim. (2007). Standardization of the Korean Version of Patient Health Questionnaire-9 as a Screening Instrument for Major Depression Disorder. Korean Journal of Family Medicine, 28(2), 114-119.
  19. M. F. Steger, P. Frazier, S. Oishi & M. Kaler. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of counseling psychology, 53(1), 80. https://doi.org/10.1037/0022-0167.53.1.80
  20. D. R. Won, K. H. Kim & S. J. Kwon. (2005). Validation of the Korean version of meaning in life questionnaire. Korean Journal of Health Psychology, 10(2), 211-225. https://doi.org/10.1177/1359105305049769
  21. B. H. D. Oliveira, A. Q. D. A. D. Silva, D. D. Ludtke, F. Madeira, G. Medeiros, R. B. Parreira, A. Salgado, L. Belmonte, F. J. Cidral-Filho & D. F. Martins. (2017). Foot Reflexotherapy Induces Analgesia in Elderly Individuals with Low Back Pain: A Randomized, Double-Blind, Controlled Pilot Study. Evidence-based complementary and alternative medicine : eCAM, 2017, 2378973. DOI : 10.1155/2017/2378973
  22. H. Byeon. (2019). Relationship between physical activity level and depression of elderly people living alone. International Journal of Environmental Research & Public Health, 16(20), 4051. DOI : 10.3390/ijerph16204051
  23. B. Baird, K. M. Oh, C. Douglas & A. A. Weinstein. (2019). Health Literacy, Depression Literacy, and Depression among Older Korean Americans. Journal of Health Community, 24(5), 525-535. DOI : 10.1080/10810730.2019.1632395