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노인의 특성이 삶의 질에 미치는 영향 -회복탄력성과 사회활동참여를 매개효과로-
남복현 ( Bok Hyun Nam ),정신섭 ( Shin Sub Jung ) 한국사회복지경영학회 2016 사회복지경영연구 Vol.3 No.1
본 연구는 노인인구가 급격히 증가하여 사회적인 문제로 대두되고 있는 한국사회에서 성공적인 노인의 삶의 질에 영향을 미치게 되는 노인의 특성요인이 무엇인지를 규명해 보고자 했다. 이를 위하여 서울시 영등포구와 기타 지역 등 대도시에 거주하는 만 65세 이상의 노인을 대상으로 설문조사를 실시하여 그 분석한 결과는 다음과 같다 첫째, 노인의 특성 중 삶의 질에 영향을 미치는 요인은 사회적 관계나 신체적 건강보다는 가족관계와 경제적 요인이 더 많은 영향을 미치는 것으로 나타났다. 둘째, 노인의 회복탄력성에 미치는 노인의 특성은(가족관계, 경제적 요인, 사회적 관계, 신체적 건강) 모두가 유의한 영향을 미치는 것으로 나타났다. 셋째, 노인의 회복탄력성이 삶의 질에 유의한 영향을 미치는 것으로 나타났다. 넷째, 노인의 특성요인 중 경제적요인, 사회적 관계 그리고 신체적 건강과 삶의 질 간의 상관관계에서는 회복탄력성이 매개효과를 가지는 것으로 나타났고 가족관계와 삶의 질 관계에서는 회복탄력성이 매개 역할을 하지 않는 것으로 나타났다. 노인의 특성 중 삶의 질에 가장 큰 영향을 미치는 요인은 가족관계와 경제적 요인으로 검증되어 가족 간의 대화나 친화력이 매우 중요함을 나타냈고 어느정도 가족에게 의존하지 않을 정도의 경제력이 필요함을 나타냈다. 회복탄력성은 노인의 특성과 삶의 질 간의 매개효과가 있는 것으로 나타났다. 이러한 연구결과 노인의 삶의 질을 높일 수 있는 방안을 마련하기 위한 정부와 지방자치단체, 지역사회의 적절한 노인관련 프로그램 개발과 지원이 요구된다. This study was to investigate the characteristics of the elderly clarify what that impact the quality of life of elderly success factors in Korea, which has emerged as a social problem by rapidly increasing elderly population. Only living in large cities such as Yeongdeungpo-gu, Seoul and other areas to conduct a survey of 65 years of age or older results of the analysis are as follows: For this purpose, First, the characteristics of the factors affecting the quality of life of the elderly showed that social relationships and physical health, family and economic factors rather than on the more of an impact. Second, the characteristics of the elderly on the resilience of the elderly was found on the (family relationships, economic factors, social relationships, physical health), everyone is statistically significant. Third, that the resilience of the elderly is a significant impact on the quality of life. Fourth, the characteristic factors of the elderly in economic factors, social relationships and the relationship between physical health and quality of life showed that the resilience has a mediating effect that it does not this intermediary resilience in quality between the family and life appear. A major contributor of the characteristics of the elderly on the quality of life is validated as family relationships and economic factors showed a conversation or affinity is very important between family members expressed the need for economies of degree not rely on a certain degree family. Resilience was found to have intermediate characteristics between the effect and quality of life of the elderly. These findings are relevant governments and appropriate senior program development and support of local governments and communities to prepare for ways to improve the quality of life of the elderly is required.
일차성 식도이완불능증 환자에서 공기풍선확장술의 치료 효과
남복현(Bok Hyun Nam),강영우(Young Woo Kang) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
N/A Patients with primary achalasia can be treated with pharmacotherapy, pneumatic dilatation, or surgical myotomy. Pneumatic balloon dilatation is well known to the first choice in the treatment of achalasia. We underwent pneumatic dilatation with RigiflexABD(Achalasia Balloon Dilator) 35mm in 29 patients with achalasia at Keimyung university Dongsan Hospital. The results of 58 pneumatic balloon dilatations in 29 patients with achalasia were good in 26 cases, fair in 3 cases and poor in 0 case. We experienced the successful non surgical treatment of esopha- geal perforation(1.78%, perforation/No. of dilations) in one patient with primary achalasia. We conclude that pneumatic dilatation is a simple, safe, and effective procedure for treatment of achalasia.(Korean J Gastroenterol 1994; 26: 405 409)
양성 및 악성 식도협착환자에서 재시경적 식도풍선 확장술의 치료효과
강영우(Young Woo Kang),남복현(Bok Hyun Nam) 대한내과학회 1995 대한내과학회지 Vol.48 No.2
N/A Objective: This study was undertaken to evaluate the therapeutic effect of endoscopic balloon dilatation in patients with benign and malignant esophageal strictures. Methods: 125 endoscopic dilatations with Rigiflex® TTS Balloon Dilator were performed in 47 patients with benign and malignant esophageal strictures in Keimyung University Dongsan Hospital from January 1992 to December 1993. 33 patients with benign strictures included caustic damage (16/33), postoperative (14/33), esophageal ring (1/33), and reflux esophagitis (1/33). 14 patients with malignant strictures included intraluminal esophageal cancer (12/14) and external compressive cancer of lung and breast (2/14). Results: The results of endoscopic balloon dilatation in 33 patients with benign esophageal strictures were Good in 21 cases, Fair in 9 cases and Poor in 3 cases. The results of 14 patients with malignant esophageal strictures were Good in 8 cases, Fair in 3 cases and Poor in 3 cases. The symptomatic improvement of benign and malignant strictures was shown in 90.9% and 78.6%, respectively. Conclusion: Endoscopic balloon dilatation is a safe, simple, and effective method for primary treatment of benign and malignant esophageal strictures.