중풍노인의 사회참여에 관한 연구:가족지지와 선행대처의 매개효과 검증 = A Study on Social Participation of Elderly with Stroke-related disability: Examining Family Support and Proactive Coping as mediators

국문 초록 (Abstract)

중풍노인의 성공적인 재활의 궁극적 목적은 사회참여이다. 사회참여는 중풍노인의 삶의 질의 지표로서 사회적 역할 수행에 초점을 두고 있다. 이에 본 연구는 구조방정식모형을 이용하여 서울지역 거주 385명의 중풍노인을 대상으로 사회참여와 관련된 개인요인인 신체기능과 환경요인인 생활스트레스의 직접효과를 파악하고, 가족지지와 선행대처의 매개효과를 검증하여 보았다. 연구의 결과는 다음과 같다. 첫째, 독립변인인 신체기능이 사회참여에 미치는 영향력은 유의미하게 나타난 반면(p<.001), 생활스트레스가 사회참여에 미치는 영향력은 유의미하지 않게 나타났다. 둘째, 매개효과 검증에서 가족지지는 각 변인 간의 매개효과가 없는 것으로 나타난 반면 선행대처는 신체기능과 사회참여 간의 직접 및 간접효과가 유의미하게 나타나 매개효과가 있는 것으로 나타났다. 셋째, 선행대처의 매개모형을 검증하기 위하여 차이 검증과 Zab 검증을 실시한 결과 부분매개모형으로 확인되었다. 이 결과를 바탕으로 중풍노인을 위한 사회참여의 개입 방안으로서 보건․의료․복지의 종합적인 서비스 제공이 가능한 조직체계를 구축할 수 있는 정책적 노력과 지역사회중심서비스를 연구․개발할 필요가 요구된다.

다국어 초록 (Multilingual Abstract)

The final goal of a successful rehabilitation for elderly with stroke related disability is to increase social participation. As an indicator of quality of life, social participation is focusing on the practices of social role. Therefore, the purpose of this study was to investigate factors related to social participation for 385 elderly with stroke-related disability who is living in Seoul city using the Structural Equation Model. The study examined the direct effect of physical function and daily hassles of social participation and the indirect effect of family support and proactive coping as a mediator. The major findings of this study were as follow: First, the direct effect of physical function on social participation was statistically significant(p<.001) while the effect of daily hassle on social participation was not statistically significant. Secondly, when examining mediator effects, family support was not proved as a mediator, while proactive coping was shown to be a mediator between physical function and social participation. After that, examination of -difference and Zab test were performed in order to reconfirm proactive coping as a mediator, it was proved to be a partial mediator model. Based on the result of this study, it requires that interventions for the elderly with stroke related disability have to be focused to integrate health, medical and social welfare services. Also, it is necessary not only to develop community based social services but also to make an effort to build comprehensive social systems.

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