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        대전광역시 지역 노인의 주관적 동통 행태 조사

        이인학(In Hak Lee),문덕흥(Duk Heung Moon) 한국노인복지학회 2001 노인복지연구 Vol.13 No.-

        The present study was intended to provide the fundamental data, available in the field of the elderly health care, from the analysis of the actual conditions of pains among the el r)y in terms of their sociodemographic and life styles. The interviews, performed during the two-month period from June to July of 2000, included 635 individuals aged over 65 who live in Daejeon metropolitan city and contained information about the nature, location, severity, and frequency of their pains. The collected data were statistically processed using SPSSWIN(ver 10.0) according to the subjects` sociodemographic, psychological factors and various life styles. 1. In terms of subjective perception of pain, 76.9% of subjects had pain. Significantly higher pain rate of 86.3% were noticed in women than 64.7% in men (p=0.000), but significant difference was not found among age groups. According to the living conditions, pain rates were 88.4% in older persons living alone, followed in a decreasing order of frequency by 73.9% in those living at their homes, and 72.1% in those in nursing homes, with significant statistical difference (p=0.001). Higher level of education was related with significantly lower rate of pain(p=0.000) and significantly higher rate was found in those without spouses(82.8%) than with spouses(68.2.%) in terms of spouse status(p=0.000). 2. Based on classifications of pain severity, 31.8%, the most frequent, were mild and it was followed in a decreasing order of frequency by 29.7% f certain pain, 25.2% of severe pain, 11.3% of very severe pain, and 2.0% unbearable pain. The pain perception was more severe in women than in men, older aged groups than in younger ones, those living alone and in nursing homes than in those living at their homes. Greater severity was also found in those with lower level of education and without spouses than in their respective counterparts. 3. Based on psychological factors, greater severity was found in the groups who are dissatisfied with the present life situation, who have weak-willed in life, who have sense of isolation, and who have considered themselves as unhealthy than in their respective counterparts. On the basis of various life styles, greater severity was also revealed in the groups who don`t have go-outs, who smoke, who don`t drink, don`t exercise, and who are obese than in their respective counterparts. 4. Based on location of pain, greater severity was reported in the back, lower e extremities, and multiple sites than elsewhere. 5. Based on the subjective nature of pain, the 29.9%, the most frequent, of subjects described their pain as “pulling”, 26.0% “tingling”, 24.0% “heavy”, and 20.1% “throbbing”, with sexual difference. 6. The group who reported more severe pain had the higher rate of access to medical service and also had the higher rate of demand for medical service than the group who did not.

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