보건의료생명과학 논문지 (Journal of the Health Care and Life Science)

한국의료정보교육협회 (The Korean Society of Medical Informatics Education)
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만성질환자의 우울에 영향을 미치는 보건 행태 요인

Health Behavioral Factors Affecting Depression in Patients with Chronic Disease

  • 김선미 (혜전대학교 보건의료행정과)
  • Sun-Mee Kim (Department of Healthcare & Medical Administration, Hyejeon College)
  • 투고 : 2022.07.10
  • 심사 : 2022.10.14
  • 발행 : 2022.12.31
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초록

본 연구의 목적은 만성질환자들의 일반적 특성, 생활 행태 및 질환 특성 등의 보건행태요인이 우울에 미치는 영향을 확인하는 것이다. 이를 위해 2019~2020년에 진행된 제8기 국민건강영양조사에 참여한 7,359명 중, 만 19세 이상 만성질환자로서 기본 조사 항목들에 결측치가 없는 1,980명에 대한 보건행태요인과 우울 간의 카이제곱 검정 분석을 수행한 후, 유의적이었던 요인들을 독립변수로 이분 로지스틱회귀분석을 수행하였다. 분석 결과, 남성보다는 여성에서 우울이 1.49배(CI: 1.086~2.044) 높았고 비흡연자보다는 흡연자에서 1.828 높았으며(CI: 1.285~2.561), 소득수준이 높을수록 우울에 대한 영향력이 감소하였다. 특히 '스트레스가 없음' 대비 '대단히 많음'에서 교차비가 28.034(CI: 13.132~59.849)로서 스트레스를 느끼는 강도가 높은 경우 우울에 가장 큰 영향을 미쳤고, 다음으로 주관적인 건강 인지와 수면시간의 영향력이 높았다. 본 연구에서는 만성질환자 집단에서 우울을 개선하기 위해 실천해야 할 중요한 생활습관 및 보건행태요인의 우선순위를 확인하였다는 것에 의의가 있다. 그리고 동반 이환의 수는 우울 발생에 유의적이지 않았기 때문에, 향후 만성질환 종류별로 우울에 영향을 미치는 정도를 파악하고 환자별 맞춤형 정책 대안을 제시하는 것이 필요할 것이다.

The purpose of this study is to investigate the effect of health behavioral factors such as general characteristics, lifestyle and disease characteristics on depression in patients with chronic diseases. To this end, among 7,359 people who participated in the 8th National Health and Nutrition Survey conducted from 2019 to 2020, chi-square test analysis between health behavior factors and depression for 1980 people aged 19 years or older with chronic diseases and no missing values in the basic survey items was performed. After that, binary logistic regression analysis was performed with the factors that were significant as independent variables. As a result of the analysis, depression was 1.49 times higher in women than men (CI: 1.086~2.044), and was 1.828 higher in smokers than in non-smokers (CI: 1.285~2.561). And the higher the income level, the lower the depression. In particular, the odds ratio was 28.034 (CI: 13.132~59.849) in 'not stressful' versus 'very stressed', which had the greatest effect when the intensity of stress was very high. And the influence of subjective health cognition and sleeping hours was also relatively high. This study is meaningful in that it identified the priority of health behavior factors that should be practiced to improve depression in patients with chronic diseases. And since the number of comorbidity was not significant in the occurrence of depression, it would be necessary to identify the extent to which each type of chronic disease affects depression and to suggest policy alternatives tailored to each patient group.

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