노인들의 사회적 지지가 건강행태 및 건강수준에 미치는 영향

다국어 초록 (Multilingual Abstract)

This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target.
The study area is the city combining city and culture type which is located in Chungcheongnam-do and consists of 5 dongs, 1 eups and 10 myeons. The city has performed the local community diagnosis for whole resident of old person. The study performed complete enumeration about the olds over 65 years old residing in tong and ri by dividing study area into tong and ri in detail.
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* A thesis submitted to the committee of Graduate School, Chungnam National University in a partial fulfillment of the requirements for the degree of Doctor of Medicine Conferred in August 2005.
The old participating in survey is total 11,956 people(the first year: 5,049 and the second year: 6,907) that was 77.8% of the old over 65 years old. Among them, 109 people suggesting timid answer is excepted and 11,847 people are selected as final analysis.
As study method, health center's nurses and the students of the department of nursing science performed survey together and it was performed by visiting household of the old with structured questionnaires developed by researcher, and performing interview survey.
The major study result are as follows :
1. When considering the degree of social support by the demographic characteristics of the olds, the quality of family support and social support is better when the old is male and young and self-reported living status is good and it has significance statistically.
2. When considering the relation between social support and physical health level, the quality of support, family support and social support is better when the old's subjective and objective physical health level is good.
3. When considering the relation between social support and the status of physical function, the quality of support, family support and social support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good.
4. When considering the relation between social support and the status of cognitive function of the old, the quality of support, family support and social support is better when the old's cognitive function is better.
5. When considering the relation between social support and status of health, in case of smoking and drinking, the quality of support, family support and social support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the quality of family support and social support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically.
6. From the result of performing covariance structure analysis by structural equation modeling with two endogenous variable(health status and health behaviors) and one exogenous variable(social support), factor loading of health status is 0.64 and factor loading of health behaviors is 0.17. The social support explains health level of 42.0% and health behaviors of 5.8%.
This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.

목차 (Table of Contents)

• 목차
• Ⅰ. 서론 = 1
• 1. 연구배경 = 1
• 2. 연구의 필요성 = 6
• 3. 연구의 목적 = 8
• Ⅱ. 연구대상 및 방법 = 10
• 1. 연구대상 및 방법 = 10
• 2. 연구내용 = 12
• 3. 연구모형 = 15
• 4. 분석방법 = 16
• Ⅲ. 연구결과 = 19
• 1. 인구사회학적 특성 = 19
• 2. 인구사회학적 특성별 사회적 지지 수준 = 21
• 3. 사회적 지지와 신체적 건강상태와의 관계 = 30
• 4. 사회적 지지와 신체적 기능상태와의 관계 = 35
• 5. 사회적 지지와 인지기능상태와의 관계 = 41
• 6. 사회적 지지와 우울상태와의 관계 = 44
• 7. 사회적 지지와 건강행태와의 관계 = 47
• 8. 공분산 구조분석 = 58
• Ⅳ. 고찰 = 61
• 1. 연구방법 및 설계에 관한 고찰 = 61
• 2. 연구결과에 관한 고찰 = 62
• Ⅴ. 요약 및 결론 = 70
• 참고문헌 = 72
• ABSTRACT = 82
• 부록 = 85