후기노인의 허약, 사회적 지지, 건강관련 삶의 질 간의 관계

이정화(Lee, Jeong Hwa),김은휘(Kim, Eun Hwi),서순림(Suh, Soon Rim) 한국노년학회 2018 한국노년학 Vol.38 No.4

본 연구는 허약의 고위험군인 후기노인의 건강관련 삶의 질 향상을 위한 기초자료를 제공하고자 허약, 사회적 지지 및 건강관련 삶의 질 간의 관계를 조사하였다. 서술적 조사연구인 본 연구를 위하여 2016년 03월 01일 부터 03월 31일까지 K군에 소재하는 노인복지시설에서 75세 이상 노인을 대상으로 구조화된 설문지를 이용하는 일대일 면담을 통해 총 211명의 자료를 수집하였다. 수집된 자료는 SPSS/WIN과 Amos 18.0 프로그램으로 t-test, Pearson’s correlation coefficient 및 경로분석을 사용하여 분석하였다. 80세를 기준으로 한 연령집단 간 차이검정결과, 80세 이상인 경우 유의하게 허약수준이 더 높고(t=-2.51, p=.013), 건강관련 삶의 질이 낮았으나 (t=3.29, p=.001), 사회적 지지는 유의한 차이를 보이지 않았다(t=1.28, p=.201). 허약, 사회적지지, 건강관련 삶의 질 간의 상관관계 분석결과, 허약수준이 높을수록 사회적 지지(r=-.21, p=.003)와 건강관련 삶의 질이 유의하게 낮았고(r=-.65, p<.001), 건강관련 삶의 질은 사회적 지지가 높을수록 유의하게 높았다(r=.18, p=.010). 사회적 지지와 건강관련 삶의 질 사이에서 허약의 매개효과를 조사한 결과, 사회적 지지는 허약에(β=-.21, p=.016) 허약은 건강관련 삶의 질에 유의한 직접효과를 미치나(β=-.06, p=.004), 사회적 지지는 건강관련 삶의 질에 유의한 직접효과를 미치지 않고(β=.00, p=.562) 허약을 매개하여 유의한 간접효과를 미쳐(β=.01, p=.012) 사회적 지지와 건강관련 삶의 질 사이에서 허약의 완전매개효과가 있었다. 사회적 지지는 허약을 예방하고 허약수준의 개선은 건강관련 삶의 질을 증진시킨다. 그러므로 후기노인의 건강관련 삶의 질 제고를 위해 연령별 사회적 지지 방안을 포함하는 다면적인 허약 예방 프로그램의 개발이 필요하다. This study investigated the relation between frailty, social support, and health-related quality of life to provide basic data to improve the health-related quality of life of old-old elderly who are a high risk group for frailty. For this descriptive study, one-on-one interviews with structured questionnaires were conducted for elderly aged 75 years or older at elderly welfare facilities in K county from March 01 to 31 in 2016, and a total of 211 elderly were interviewed. The collected data were analyzed by t-test, Pearson’s correlation coefficient, and path analysis using SPSS/WIN and AMOS 18.0 program. For the differences between the age groups, those aged over 80 years had a significantly higher frailty (t=-2.51, p=.013) and a lower health-related quality of life than those aged below 80 years (t=3.29, p=.001); however, there was no significant difference in social support (t=1.28, p=.201). The correlation between frailty, social support and health-related quality of life showed that as frailty became higher, social support (r=-.21, p=.003) and health-related quality of life (r=-.65, p<.001) were significantly lower, and health-related quality of life was significantly higher with a higher social support (r=.18, p=.010). As a result of investigating the mediating effects of frailty between social support and health-related quality of life, social support had a significant direct effect on frailty (β=-.21, p=.016) and frailty had a significant direct effect on health-related quality of life (β=-.06, p=.004); however, social support had no significant direct effect on health-related quality of life (β=.00, p=.562). Social support had a significant indirect effect on health-related quality of life and a mediating effect on frailty (β=.01, p=.012); therefore, the full mediation effect of frailty between social support and health-related quality of life was verified. Social support prevents frailty, and improving frailty enhances health-related quality of life. Therefore, it is necessary to develop a multifactorial frailty prevention program that includes age-specific social support strategies to improve the health-related quality of life in old-old elderly.

시설노인과 재가노인의 가족지지, 자존감 및 건강상태 비교연구

김귀분 ( Kwuy Bun Kim ),이경호 ( Kyung Ho Lee ) 경희대학교 동서간호학연구소 2000 동서간호학연구지 Vol.5 No.1

This study aims to provide the fundamental data for substantial nursing intervention in the elderly through a comparative appreciation on family support, self-esteem, and health status between the institutionalized elderly people and the homestaying ones. The subjects of this study are the institutionalized 108 elderly people of E and C Public Homes and the home-staying 109 elderly ones of O-Nho In Jeong(a kind of public recreational facilities for the aged) over the age of 65. The instruments for this research are based upon the tool(11 items, 5 points for each) for measuring family support developed by Choi, Young Hee(1984), a self-esteem scale done by Rosenberg (1965), the tools(20 items) for checking the health status of the elderly done by Lee, Young-Ja(1989). The sampling for this study has been carried on from July, 2000 until November, 2000. Questionnaire data were drawn up by personal interviews. The analyses of collected data are based on general characteristics calculated at the rate of 100 percentage to the average, t-test, ANOVA(some difference on a level with p<.05 being subsequently confirmed by DMR) for family support, self-esteem and health status, and Pearson Correlation to verify the hypothetical correlation among the subjects` family support, self-esteem and health status. The results of this study are as follows: 1. The difference between two groups in the light of family support, self-esteem and health status. ① Family support-The rate of the family support that the institutionalized elderly people perceive turned out to be 22.13, that of the home-staying ones 30.99. ② Self-esteem-The rate of the self-esteem that the former perceives proved to be 25.59, that of the latter 32.28. ③ Health Status-The rate of the health status that the former perceives turned out to be 39.67, that of the latter 51.60. 2. Family support, self-esteem, health status in terms of demographic characteristic ① Family support-The group of institutionalized elderly people shows a tendency to be chiefly influenced by the death or life of the spouse and the number of the children; the group of the home staying ones to be chiefly influenced by the educational level ② Self-esteem-The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by the amount of pocket money, the pocket money provider and the family main supporter. ③ Health Status-The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by age, the death or life of spouse, religion, and the educational level. 3. Correlation among family support, self-esteem, and health status The rate of correlation between family support and health status proved to be the highest (r=.549). After came the rate of correlation between health status and self-esteem, which turned out to be(r=.506). The last came the rate of correlation between family support and self-esteem, which proved to be(r=.406). According to this study, there is a conspicuously close correlation among family support, self-esteem, and health status for the elderly. Thus, it would be indispensible to seek out a variety of nursing intervention ways how the elderly could promote family support, self-esteem, and health status.

우리나라 병사들의 건강증진행위와 사회적지지 정도

모정민(Jung Min Mo),배정이(Jeong Yee Bae) 위기관리 이론과 실천 2015 Crisisonomy Vol.11 No.7

본 연구는 병사들의 건강증진행위의 실태를 조사하고 건강증진행위의 증진에 중요하게 작용할 것으로 기대되는 사회적 지지와의 관련성을 파악하여 이를 통해 건강증진의 도모와 사회적 지지를 강화하기 위한 기초자료를 제공하고자 실시되었다. 일 광역시 소재 1개 사단에서 군 복무중인 병사 300명을 대상으로 하였으며, 연구도구는 건강증진행위를 측정하기 위한 건강증진 생활양식 측정도구와 병사들의 건강증진행위에 많은 영향을 줄 것이라 사료되는 사회적 지지를 측정하기 위한 사회적 지지 평가척도를 사용하여 설문지를 구성하였다. 수집된 자료는 SPSS WIN 19.0을 이용하여, 연구 목적에 따라 평균, 백분율, 독립표본 t-test, ANOVA와 Pearson's Correlation Coefficient으로 분석하였다. 연구 결과 건강증진행위의 자아실현 3.1(.52), 대인관계 지지 3.0(.51) 영역은 높은 점수를 보였으나, 건강 책임 2.4(.56), 영양 2.3(.65)과 관련된 건강증진행위는 상대적으로 낮은 분포를 보였다. 또한 사회적 지지는 가족의 지지가 4.5(.63)로 가장 높았고 군 동료의 지지가 4.0(.83)으로 가장 낮았다. 그러나 병사들의 건강증진행위와 사회적 지지인 가족, 친구 및 군 동료의 지지와의 상관관계를 분석한 결과 가족의 지지r=.32(p<.001), 친구의 지지 r=.39(p<.001), 군 동료의 지지 r=.43(p<.001)로 영역 모두에서 유의한 상관관계를 보였으며, 그 중 군 동료의 지지가 가장 높게 나타났다. 이를 통해 가장 높은 상관관계를 보인 군 동료의 지지가 실제 가장 부족함을 알 수 있으므로 병사들의 건강증진에 군 동료들이 적극적으로 지지할 수 있도록 지속적이고 체계적인 건강관리 프로그램을 운영함으로써 건강증진행위 활성화와 건전한 사회적 지지 시스템을 구축하기 위한 노력이 필요하다. 더불어 병사들의 건강 책임과 영양에 관심을 가지고 지지해 줄 수 있는 다양한 지원이 이루어져야 할 것이다. This study was conducted to examine degrees of health promoting behaviors and social support in solders and to identify the relationship between health promoting behaviors and social support in solders. In this descriptive, correlation study, 300 soldiers who were in the military service at one of the divisions of a metropolitan city were completed a questionnaire including the Health Promoting Lifestyle Profile and the Social Support Scale. The data was analyzed with the average, percentage, t-test, ANOVA, and Pearson's Correlation Coefficient in SPSS WIN 19.0. The results of the study are as follows: The majority of solders had good health status(76%), but 26.3% reported that they had a disease. In addition, 73% of participants voluntarily applied the army. The average of degree of social support promoting behaviors was 102.7(13.96)(range 54-139). The average of degree of social support was 63.3(9.13)(range 31-75). Higher economic status(F=1.23, p<.05) and better health status(F=1.23, p<.001) were associated with higher degree of health promoting behaviors. In addition, participants who made sure of the pathways after discharge(F=1.23, p<.001) were positively associated with higher degree of health promoting behaviors. Level of health state was significantly associated with degree of social support(F=1.23, p<.01). Health-promoting behaviors were correlated with social support from family(r=.32, p<.001), friends(r=.39, p<.001) and fellow soldiers(r=.43, p<.001). The results of this study show the relationship between health-promoting behaviors and social support. Because fellow soldiers are the most available social support group for the soldiers, it is necessary to enhance the social support system with peers in the army.

지역사회 거주 노인의 건강과 관련된 사회적 지지(social support) 측정 도구에 대한 체계적 고찰

진연주,홍익표 대한작업치료학회 2023 대한작업치료학회지 Vol.31 No.2

Objective: Social support is an important social factor that affects the maintenance of health and recovery from disease in the social environment and relationships of the older adults. The study aims to systematically review the health-related social support study and assessment tools that have been used for community-dwelling older adults. Methods: From January 2012 to December 2022, we searched for the studies related to social support assessment tools by using the PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Research Information Sharing Service (RISS) and Korean Studies Information Service System (KISS) databases. The search terms were ‘social support assessment’ OR ‘social support questionnaire’ OR ‘social support scale’, ‘older adults’, ‘community dwelling’ AND ‘health’. Results: A total of 3,897 studies were extracted, and finally 24 studies and 14 social support assessment tools were selected according to the inclusion criteria. Among the social support concepts, the eight assessment tools (57%) were included to measure perceived social support. Conclusion: It is expected that the results of this study could be used to develop a standardized assessment tool that can measure the health-related social support assessment tools for community-dwelling older adults. 목적:본 연구의 목적은 지역사회 거주 노인의 건강과 관련된 사회적 지지 연구에서 적용한 평가도구의 특성과 사회적 지지의 측면 및 하위요인의 분류 및 고찰을 통해 사회적 지지 평가도구들을 체계적으로 분석하여 제시하고자 한다. 연구방법:자료수집은 PubMed, Cumulative Index of Nursing and Allied Health Literature(CINAHL), 학술연구정보서비스(Research Information Sharing Service; RISS), 한국학술정보(Korean Studies Information Service System; KISS) 국내외 데이터베이스를 사용하여 2012년 1월부터 2022년 12월까지 게재된 논문을 대상으로 문헌을 검색하였다. 검색어는 “social support assessment”, OR “social support questionnaire”, OR “social support scale” AND “older adults” AND “community dwelling” AND “health”를 사용하였다. 결과:총 3,897편의 연구 중 최종적으로 24편의 문헌이 선정되었고, 선정된 문헌에서 14개의 사회적 지지 평가도구가 포함되었다. 사회적 지지 개념적 측면에서 지각된 사회적 지지를 측정하는 도구는 총 14개 중 8개(57%)가 포함되었다. 평가도구의 하위요인은 사회적 지지의 개념적 측면의 기능과 제공 및 수혜 형태의 복합적인 요인을 포함하는 것으로 나타났다. 결론:본 연구는 지역사회 거주 노인의 건강과 관련된 사회적 지지 평가도구의 특성, 측면 및 하위요인을 분류하여 제시하였으며, 표준화된 사회적 지지 평가도구를 개발하는데 기초자료로 활용될 것으로 기대한다.

한국인의 마음건강: 어떤 사회지원망 속에서 건강한가?

구혜란,박상희 한국보건사회학회 2016 보건과 사회과학 Vol.0 No.43

This paper aims to reveal how Koreans’ social support networks are structured and to analyze the relationships between types of social support network and individuals’ mind health. Previous research evidenced the existence of significant relationship between social support network and physical and mental health. Most of empirical studies, however, focuses on specific groups, such as elderly, women, patients, and lower class. Using a survey of Koreans over the age of 19 years old, we identify different types of social support network of Koreans overall and examine whether mind health is related to different types of support network. We operationalize mind health consisting of three elements; positive emotion, absence of negative emotion, and psychological flourishing. Latent class analysis produces four types of social support networks; partner centered, family-friends diversified, friends-relatives centered, and restricted. There are statistically significant differences in mind health across network types. The mind health levels are the highest for those who have a partner centered network, followed by those of family-friends diversified network, friends-relatives centered network. Those who have a restricted support network are the lowest in mind health. All three sub-elements of mind health shows significant differences across support network types. The differences are particularly noticeable in the absence of negative emotion and psychological flourishing. Those who have a restricted support network report lower level of positive emotion, higher level of negative emotion, and lower level of flourishing. The results imply that in order to improve mind health of Koreans, it may be necessary to reinforce alternative support networks including formal support networks. 연구목적은 압축적 근대화의 사회구조와 사회관계 변화 속에서 개인의 사회지원망이 어떻게 구조화되어 있는지를 확인하고 사회지원망의 구조가 개인의 마음 건강과 어떤 관계가 있는 지를 분석하는것이다. 기존 연구들은 사회지원망이 신체건강 및 심리적 건강과 유기적 관계를 맺고 있음을 보여준다. 그러나 선행연구들은 대체로 특정 인구집단을 대상으로 하고 있으며 한국인 전반을 대상으로 하는 경험적 연구는 많지 않다. 이 연구는 전국에 거주하는 성인 인구집단을 대상으로 하며, 사회적 지원의 기능적 측면과 연결망 속성을 종합적으로 고려함으로써 기존 논의를 보완한다. 또한 마음건강을감정과 기능, 상태와 과정을 포괄하는 개념으로 확장하여 분석하였다. 분석자료는 2015년 수집된 사회정신건강 조사자료이다. 분석방법은 잠재집단분석과 다변량분산분석(MANOVA)방법을 사용하였다. 분석결과, 한국인의 사회지원망 유형은 배우자중심형, 가족-친구친지 분화형, 친구친지중심형, 제한적 지원망형으로 분류되었다. 분류된 사회지원망 유형에 따라 마음건강은 유의미한 차이를 보였다. 배우자중심형에 속한 사람들의 마음건강 수준이 가장 높았으며, 가족-친구친지 분화형, 친구친지중심형, 제한적 지원망형 순이었다. 마음 건강을 구성하는 하위 요소들 모두 지원망 유형에 따라 의미 있는 차이가 있었으며 특히 부정정서와 심리적 번영(flourishing)에서의 차이가 두드러졌다. 배우자중심형에 속한 사람들은 모든 마음건강 요소에서 유의미하게 긍정적인 모습을 보였다. 반면 제한적 지원망형에 속한 사람들은 긍정정서가 낮고 부정정서가 높았으며 심리적 번영 수준이 가장 낮았다. 이러한 연구결과는 사회지원망의 확충이 마음건강 수준을 높일 수 있는 방안이 될 수 있으며, 공적인지원망을 포함한 다양한 사회지원망의 대안들이 모색될 필요가 있다는 것을 보여준다.

학교보건사업의 역사적 고찰을 통한 정책 방향에 관한 연구

김상욱,김윤신,장창곡 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Objectives : The purpose of this study is to provide a basic structure for the establishment of the direction of school health programs, an overview of the historical changes of school health programs and their results, and a conceptual framework on school health programs. Methods : The data analysis has been done using a statistical almanac, relevant laws and regulations, operation handbook of the program, theses, reports, records of public hearings, and other reports as a technical research primarily based on evidence. The methodology of this research classifies the development and growth transition of school health programs during a historical period through the investigation of regulations, organization, manpower, and its program via its development process and to provide a basic tool to design a solid school health policy. Results : A. The growth and development of school health programs The development of school health programs was classified into three different periods including the forthcoming period (1945~1967), the completion period (1967~1993), and the actualization period based on the establishment of legislation for School Health Law, other relevant legislation, and the contents of school health programs (1993~present). B. Policy direction of school health programs School health programs have reestablished their goals and range based on basic direction, and developed the unit model of information structure for school health program management and its basic structure. Finally, the stepwise support system through the building of the school health support center is recommended. (1) The basic direction of school health programs has proposed 7 basic goals to reestablish the policy direction of health improvement based on total health. (2) The unit model of information system and the school health information system for school health program management has been developed to utilize positive management. (3) School health policy through the study of the health laws and systems has been developed. The necessity of school health support center for the policy support, functional support and operation support has also been proposed. Conclusions : It is necessary to build a school health support center that consists of health professionals in charge of policy support, functional support, and program support of school health programs in order to realize and develop new policy.

Effects of anxiety, depression, social support, and physical health status on the health-related quality of life of pregnant women in post-pandemic Korea: a cross-sectional study

김현경,정금희,Hye Young Min 한국여성건강간호학회 2023 여성건강간호학회지 Vol.29 No.3

Purpose: This study aimed to examine the effects of anxiety, depression, social support, and physical health status on the health-related quality of life of Korean pregnant women using Spilker’s quality of life model.Methods: This was a cross-sectional study with a correlational design. The participants included 166 pregnant women who were recruited via convenience sampling at two healthcare centers in South Korea. Questionnaires were collected from April 22 to May 29, 2023, in two cities in South Korea. The EuroQol-5D-3L, General Anxiety Disorder-7, Patient Health Questionnaire-2, Perceived Social Support through Others Scale-8, and EuroQol visual analog scale were used to assess the study variables. The t-test, Pearson correlation coefficients, and multiple regression tests were conducted using IBM SPSS ver. 26.0.Results: Statistically significant correlations were identified between the health-related quality of life of pregnant women and anxiety (r=.29, p<.001), depression (r=.31, p<.001), social support (r=–.34, p<.001), and physical health status (r=–.44, p<. 001). Physical health status (β=–.31, p<.001) and social support (β=–.21, p=.003) had the greatest effect on health-related quality of life (F=15.50, p<.001), with an explanatory power of 26.0%.Conclusion: The health-related quality of life of pregnant women was affected by social support and physical health status. This study demonstrated that physical health and social support promotion can improve the health-related quality of life of pregnant women. Healthcare providers should consider integrating physical health into social support interventions for pregnant women in the post-pandemic era.

한국 노인의 사회계층별 건강상태와 사회적 지원의 영향에 관한 연구

이승미(Seung Mi Lee) 한국노년학회 2002 한국노년학 Vol.22 No.3

본 연구는 노인의 사회계층이 건강상태에 미치는 영향을 체계적으로 밝힌 연구이다. 본 연구의 첫 번째 문제제기는 노인의 사회계층이 건강상태에 미치는 영향을 보다 체계적으로 이해할 수 있는 이론적 틀을 제공할 필요가 있다는 것이었다. 두 번째 문제제기는 노인의 사회계층에 따라 사회적 지원이 건강상태에 미치는 영향이 차별적인가 하는 점이다. 주요 분석결과를 요약하면 다음과 같다. 첫째, 노인의 사회계층, 사회적 지원 그리고 건강상태의 관계에 대한 이론적 툴을 분석한 결과, 사회계층이 사회단체 참여와 인지된 도구적 지원과 같은 사회적 지원을 매개로 하여 건강상태에 영향을 미치고 있는 것으로 나타났다. 따라서 노인의 사회계층과 사회적 지원을 매개로 한 건강상태간의 인과관계가 입증되었다고 할 수 있다. 둘째, 노인의 사회계층에 따라 건강상태에 영향을 미치는 사회적 지원의 유행이 다르게 나타나는지 검증한 결과, 사회계층적 지위가 높은 노인들의 경우 어떠한 사회적 지원도 기능적 건강상태에 긍정적 영향을 미치고 있지 못한 반면, 자녀와의 상화작용과 인지된 정서적 지원이 주관적 건강평가에 긍정적 영향을 미치는 것으로 나타났다. 사회계층적 지위가 낮은 노인들의 경우 자녀와의 상호작용 및 사회단체 참여가 기능적 건강상태에 긍정적 영향을 미치는 것으로 나타나 반면, 인지된 도구적ㆍ정서적 지원은 유의미한 영향을 미치지 않는 것으로 나타났다. 또한 주관적 건강평가와 관련해서는 사회단체 참여와 인지된 도구적 지원이 유의미한 영향을 미치는 것으로 밝혀졌다. 분석결과들이 갖는 의의와 노인의 계층별 건강상태 향상을 위한 정책적 합의가 논의되었다. The study tried a comprehensive analysis in order to examine the relationship existing between social class health considering psycho-social factors, such as social support, as a prime candidate for a central role in explaining disparities of social class in health among Korean elderly. The major findings of this research are summarized as follows; 1. path analysis : In relation to the functional health, education, wealth and sex affected functional health through only the social activity participation among the four of social supports. In relation to the self-rated health, variables of social class affected self-rated health through the social activity participation and perceived instrumental support. 2. Path analysis through cluster analysis : In relation to functional health, the result showed that any variables that consist of social support did not have a significant influence on the functional health in <cluster 1>. In contrast, interactions with adult-children and social activity participation had a significant influence on the functional health in <cluster 2>. In elation to the self-rated health, the result showed that interactions with adult-children and perceived emotional support affected positively the self-rated health of the elderly in <cluster 1>. In contrast, except for the perceived emotional social support, all types of social supports-interactions with adult-children, social activity participation and perceived instrumental support-were significant variables affecting positively the self-rated health of the elderly in <cluster 2>.

한의약 공공보건사업 지원체계에 대한 고찰

이은경,정명수,이기남,Lee, Eun-Kyoung,Chong, Myong-Soo,Lee, Ki-Nam 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.3

Objectives : In spite of the importance of preparing a support system for public health programs, there is a relatively poor system to support Oriental medicine public health programs. In this regard, considerations have been made to give directions for the development of technical support organizations for Oriental medicine public health programs. Methods : The authors investigated support organizations of public health programs and compared Oriental medicine public health programs with them. Results : Technical support organizations for Oriental medicine public health programs are controlled by the National Traditional Korean Medicine Research and Development Center. However there is lack in the relevant budget, technical support, professional abilities for research and planning, connections with research institutes in the Oriental medicine field, and affiliations with the other public health programs. Conclusion : In this context, the following actions are required to systematically and technologically support Oriental medicine public health programs. Health improvement & technical support organizations whose incorporation is promoted by the Ministry of Health and Welfare, should include the National Traditional Korean Medicine Research and Development Center, so as to activate the Oriental medicine public health programs. Legal provisions and the budget for the Oriental medicine public health programs should be secured so as to help identify and implement effective programs for improving the community health. A society for public health oriental medicine need be established so as to consolidate research capacities for the Oriental medicine public health programs. Programs should be developed to train professionals and supports should be intensified for activities to build capacities in technical support organizations.

결혼이주여성의 지각된 건강상태와 자기효능감, 사회적지지, 건강문해력, 문화적응 스트레스와 여성건강지식이 건강관련 삶의 질에 미치는 영향

전미영,채영란,강소연,이희영,김명미,박성희,최현희 한국생활환경학회 2019 한국생활환경학회지 Vol.26 No.2

The purpose of this study is to investigate perceived health status, self efficacy and social support mainly for migrant women living in G district in Seoul city, and to investigate the relationship between them understanding perceived health, self efficacy and social support on quality of life, and to support the formation of ongoing management and self-help meetings for married migrant women. This is descriptive survey study using a questionnaire which with demographic and sociological variables, health care needs, perceived health status, self efficacy, social support, and quality of life items by 98 married migrant women who visit a multicultural family council. The perceived health status of the participants was generally well recognized(3.06±.82). Health-related quality of life was associated with perceived health status(r=.33, p=.001), self efficacy(r=.38, p<.001), social support(r=.33, p=.001) and it was a static correlation. Factors influencing quality of life were self efficacy, social support, and perceived health status and these factors accounted for 30.1% of health related quality of life. In order to maintain and promote the health related quality of life of married immigrant women, it is necessary to promote self efficacy, and to participate in the health promotion activities that take into account the sustained interest and support and health condition.