노인의 삶의 질 예측모형 구축 - 건강관리 모형을 중심으로 -

다국어 초록 (Multilingual Abstract)

This study was conducted to a structural model for explaining the quality of life in the elderly. The conceptual model was constructed based on the findings from studies on the elderly. Data were collected by self-reports questionnaires from 571 elderly living in Seoul, from Nov. 1997, to Jan. 1998. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.12 program for Covariance Structural analysis. The findings as follow; 1. The fit of the Hypothetical model with 21 paths and the empirical were low, thus it was modified by excluding 4 paths and adding free parameter to it. The Modified Model with 17 paths showed a good fitness to the empirical data (x2 =1162.76 (df=182, P=0.0), GFI=0.95, AGFI=0.92, NNFI=0.97, NFI=0.97, RMSR=0.07, RMSEA=0.09). 2. Age(γ_(41)=-0.03 ), Educational level(γ_(44)=0.04), Health concept(γ_(45)=0.59), Perceived health status(γ_(46)=0.16), Internal locus of control(γ_(47)=0.11), self esteem(β_(41)=0.32), self efficacy(β_(42)=0.13), health promoting behavior(β_(43)=0.20) have significant effects on quality of life in the elderly of these variable, self esteem was the most essential factor. All predictive variable of quality of life altogether explained 79% of variance. 3. Age(γ_(31)=-0.01), Educational level(γ_(34)=0.11), Health concept(γ_(35)=1.33), Perceived health status(γ_(36)=0.15), Internal locus of control(γ_(37)=0.02), self esteem(β_(31)=0.12), self efficacy(β_(32)=0.38) have significant effect on health promoting behavior in the elderly. All predictive variable of health promoting behavior altogether explained 69% of variance. In conclusion, the derived model in this study was confirmed to be proper in explaing and predicting on quality of life in the elderly. From the result of the study, it is suggested to develop health promoting program for improving quality of life in the elderly.