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Related Factors of Suicide Ideation in Elderly People with Diabetes Mellitus Living Alone in Rural Area

농촌지역에 거주하는 독거 당뇨병 노인의 자살사고 관련 요인

  • Gang, Moonhee (College of Nursing, Chungnam National University) ;
  • Ahn, Yujin (College of Nursing, Chungnam National University)
  • Received : 2022.07.20
  • Accepted : 2022.10.20
  • Published : 2022.10.28

Abstract

The purpose of this study was to identify suicidal ideation and related factors of elderly people with diabetes mellitus living alone in rural area. A descriptive study design was used. The participants were 466 elderly people, aged 65 years and over, and diagnosed with diabetes mellitus living at O province in South Korea. Collected data were analyzed using descriptive statistics, t-test, χ2-test, and logistic regression analysis with SPSS statistics 26.0 program. The results of the analysis showed that the suicidal ideation rate of the subjects was 27.3%, and the subjects showed significant differences in suicidal ideation as Cognitive function was lower (t=-4.23, p<.001), Depression(t=9.56, p<.001) and Loneliness (t=4.88, p<.001) were higher. Related Factors of suicidal ideation were Cognitive function (OR=0.86, p<.001), Depression (OR=1.18, p<.001) and Loneliness (OR=1.17, p=.001). These variables explained 32.2% of suicidal ideation. Therefore, in order to reduce suicide ideation of the elderly with diabetes mellitus living alone in rural areas, intervention that can improve Cognitive function, Depression, and Loneliness is needed.

본 연구의 목적은 농촌지역에 거주하는 독거 당뇨병 노인의 자살사고에 영향을 미치는 요인을 파악하는 것이다. 본 연구는 서술적 조사연구이다. 연구대상자는 O 지역에 거주하는 당뇨병을 진단받은 만 65세 이상 노인 466명이다. 수집된 자료는 SPSS 26.0 프로그램을 이용하여 서술통계, t-test, χ2-test, 로지스틱 회귀분석을 활용하여 분석하였다. 연구대상자 중 자살사고가 있다고 응답한 대상자는 27.3%이었고. 인지기능이 낮을수록(t=-4.23, p<.001), 우울(t=9.56, p<.001) 및 외로움(t=4.88, p<.001) 이 높을수록 자살사고에 유의한 차이가 있었다. 자살사고 관련 요인은 인지기능(OR=0.86, p<.001), 우울(OR=1.18, p<.001) 및 외로움(OR=1.17, p=.001)으로 나타났으며, 이 요인들은 대상자의 자살사고를 32.2%를 설명하였다. 따라서 농촌지역에 거주하는 독거 당뇨병 노인의 자살사고를 감소시키기 위해 인지기능, 우울 및 외로움을 향상시킬 수 있는 중재가 필요하다.

Keywords

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