만성질환 노인의 사회적 관계망, 노화인식, 자원동원성이 건강관련 삶의 질에 미치는 영향

다국어 초록 (Multilingual Abstract)

Our descriptive survey aimed to examine the levels of social networks, attitudes toward aging, resourcefulness, and health-related quality of life among older adults with chronic diseases. We also, identified factors that influence the health-related quality of life.
Our survey consisted of 178 older adults aged 65 years or older residing in O-gun, Chungcheongbuk-do. The selected participants, were diagnosed with chronic diseases for at least three months and were currently receiving treatment or preventive management. We collected data using a structured questionnaire from July 25 to August 5, 2025. We analyzed the obtained date using SPSS WIN 31.0 for descriptive statistics, independent t-tests, one-way ANOVA with Scheffe post-hoc tests, correlation analysis, and hierarchical multiple regression analysis.
Our main findings are as follows:
1. Based on a full score of 100, the mean score of 61.04±12.84 indicated a moderate level of health-related quality of life in older adults. Among the subdomains, the environmental domain had the highest score, while the physical domain had the lowest.
2. We observed Statistically significant differences in health-related quality of life on the basis of general characteristics, including religion, economic activity, subjective economic status, participation in social activities, participation in welfare service programs, and subjective health status.
3. Health-related quality of life was significantly positively correlated with social networks (r=.53, p<.001), attitudes toward benefits of aging (r=.58, p<.001), and resourcefulness (r=.51, p<.001). Health-related quality of life was significantly negatively correlated with attitudes toward aging-associated loss (r=-.24, p=.001).
4. According to hierarchical multiple regression analysis, resourcefulness (β =.23, p<.001) was the strongest predictor of health-related quality of life, followed by social networks (β=.22, p<.001), attitudes toward benefits of aging (β=.21, p=.003), and attitudes toward aging-associated loss (β=-.18, p=.003). We also identified subjective health status and participation in social activities as significant factors. The final model explained 57.4% of the variance.
An analysis of influencing factors showed that health-related quality of life among older adults with chronic diseases was most significantly affected by resourcefulness, followed by social networks and attitudes toward aging. Therefore, it is imperative to develop community-based nursing interventions that focus on improving resourcefulness, strengthening social networks, and promoting positive attitudes toward aging. Implementing these factors will help to enhance the health-related quality of life in older adults with chronic diseases.

Key words: Older adults chronic disease, social networks, attitudes to aging, resourcefulness, health-related quality of life

목차 (Table of Contents)

• 목 차 ⅰ
• 표 목 차 ⅲ
• 그림 목차 ⅳ
• Ⅰ. 서 론 01
• 1. 연구 필요성 01
• 2. 연구 목적 03
• 3. 용어 정의 04
• Ⅱ. 문헌고찰 07
• 1. Zauszniewski의 자원동원성과 삶의 질 이론 07
• 2. 만성질환 노인의 건강관련 삶의 질 09
• 3. 만성질환 노인의 건강관련 삶의 질 영향 요인 11
• 1) 만성질환 노인의 사회적 관계망 11
• 2) 만성질환 노인의 노화인식 13
• 3) 만성질환 노인의 자원동원성 15
• Ⅲ. 개념적 기틀 17
• Ⅳ. 연구 방법 18
• 1. 연구설계 18
• 2. 연구대상 18
• 3. 연구도구 19
• 4. 자료 수집 방법 21
• 5. 윤리적 고려 21
• 6. 자료 분석 방법 22
• Ⅴ. 연구 결과 23
• 1. 대상자의 일반적 특성 23
• 2. 대상자의 사회적 관계망, 노화인식, 자원동원성, 건강관련 삶의 질 정도 25
• 3. 대상자의 일반적 특성에 따른 사회적 관계망, 노화인식, 자원동원성, 건강관련 삶의 질 차이 27
• 1) 대상자의 일반적 특성에 따른 사회적 관계망 27
• 2) 대상자의 일반적 특성에 따른 노화인식 29
• 3) 대상자의 일반적 특성에 따른 자원동원성 34
• 4) 대상자의 일반적 특성에 따른 건강관련 삶의 질 36
• 4. 대상자의 사회적 관계망, 노화인식, 자원동원성, 건강관련 삶의 질 간의 상관관계 38
• 5. 대상자의 건강관련 삶의 질에 영향을 미치는 요인 40
• Ⅵ. 논의 42
• Ⅶ. 결론 및 제언 52
• 참 고 문 헌 54
• 영 문 초 록 66
• 부 록 69
• 감 사 의 글 94