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.

주민참여 건강사업의 성과와 과제: 경상북도 건강마을 조성사업 참여 주민의 경험

홍남수 ( Nam-soo Hong ),김건엽 ( Keon-yeop Kim ),이경수 ( Kyeong-soo Lee ),김미한 ( Mi-han Kim ),김은휘 ( Eun-hwi Kim ),박민아 ( Min-ah Park ),이수진 ( Su-jin Lee ),김지민 ( Ji-min Kim ) 한국보건정보통계학회(구 한국보건통계학회) 2020 보건정보통계학회지 Vol.45 No.2

Objectives: This study aims to evaluate the effectiveness and challenges of a community-based residents-led participatory health project. Methods: This qualitative study was analyzes three Focus Group Interviews of 19 health coordinators among residents who participated in the resident-led health project. Results: Participants recognized that the community health awareness and strength of the residents were restored and strengthened by the project, the physical living environment was improved, and health conditions and behaviors were improved. Future tasks derived from the implementation of this project include expanding and strengthening community participation, and strengthening public health centers’ role and functions for resident-led community health program. Conclusions: Although the health promotion project led by residents in Gyeongsangbuk-do Province, South Korea was successful, there are many challenges to overcome in the future, such as strengthening community participation and improving the capacity of public health centers. Various approaches are needed to assess the health and social outcomes of community involvement in health.

일지역 후기노인의 치매인식도와 치매태도가 신체활동에 미치는 영향

이정화(Lee, Jeong-Hwa),서순림(Suh, Soon-Rim),김은휘(Kim, Eun-Hwi) 한국노년학회 2017 한국노년학 Vol.37 No.2

본 연구는 치매의 고위험군인 후기노인을 대상으로 치매인식도, 치매태도 및 신체활동을 조사하고, 치매인 식도와 치매태도가 신체활동에 미치는 영향을 파악하여, 후기노인을 위한 맞춤형 복합 신체활동증진프로그램의 개발을 위한 기초자료를 제공하고자 시도되었다. 본 연구는 서술적 조사연구로 K군에 소재하는 9개 노인복 지시설을 방문하는 75세 이상 노인을 대상으로 2016년 06월 01일부터 06월 30일까지 일대일 면담을 통한 설문지 작성으로 총 218명의 자료수집을 하였다. 수집된 자료는 SPSS/WIN 18.0 프로그램을 t-test, ANOVA, Pearson’s correlation coefficient, hierarchical regression을 사용하여 분석하였다. 연구결과, 연구대상자의 치매 인식도, 치매태도 및 신체활동은 모두 낮은 수준이었고, 치매인식도와 치매태도(r=.380, p<.001) 및 신체활동 (r=.211, p=.002), 치매태도와 신체활동(r=.405, p<.001) 간은 모두 유의한 정적 상관관계가 있었다. 후기노인의 신체활동에 가장 큰 영향을 미치는 변수는 치매태도(β=.271, p<.001)였고, 이외 성별(β=.207, p=.003)과 교육수 준(β=.184, p=.023)이 유의한 영향을 미쳤으며, 이들 변수의 설명력은 28.8%이었다. 결론적으로 노인을 위한 맞춤형 복합 신체활동프로그램 개발시 특히 저학력 여성 후기노인에 초점을 둔 치매인식도 및 치매태도의 제고 방안이 포함되어야 한다. The purpose of this study was to investigate levels of dementia knowledge, dementia attitude, and physical activities and whether dementia knowledge and dementia attitude affect physical activities in old-old elderly who had high risk of dementia. A descriptive study design was used. Participants were 218 old-old elderly above 75 years at 9 elderly welfare facilities in K county from June 1 to 30 in 2016. Collected data were analyzed by t-test, ANOVA, Pearson’s correlation coefficient, hierarchical regression using SPSS WIN 18.0 program. The mean scores of dementia knowledge, dementia attitude, and physical activity of participants were low, there were positive correlations between dementia knowledge and dementia attitude (r=.380, p<.001), and physical activities (r=.211, p=.002), and between dementia attitude and physical activities (r=.380, p<.001). The significant predictors of physical activities were dementia attitude (β=.271, p<.001), gender (β=.207, p=.003) and education level (β=.184, p=.023). These variables explained 28.8% of physical activities. In conclusion, we need to develop a customized multifactorial physical activity program with considering dementia knowledge and dementia attitude especially for old-old elderly women with low education level.

가상현실을 활용한 디지털 역량증진 교원연수 프로그램이 보건교사의 디지털 미디어 리터러시, 교사 효능감, 문제해결 능력에 미치는 효과

하영선 ( Young-sun Ha ),박용경 ( Yong-kyung Park ),김은휘 ( Eun-hwi Kim ),김경진 ( Kyeng-jin Kim ) 한국보건정보통계학회 2022 보건정보통계학회지 Vol.47 No.2

Objectives: This study was conducted to examine the effects of digital empowerment teacher training program applying virtual reality on digital media literacy, teacher efficacy, and problem-solving ability of school nurse. Methods: A quasi -experimental study of pre- and post-experimental design was performed on 47 school nurse located in K city and the developed digital empowerment teacher training program was implemented. The data collection period is July 27, 2021, and the collected data is collected using the SPSS 18.0 program. Paired t-test were analyzed. Results: According to the results of the effect, it was found that there was a significant difference in digital media literacy and problem-solving ability. Conclusions: The digital empowerment teacher training program developed in this study can be used as an effective program to enhance the digital media literacy and problem-solving ability of school nurse.