지역사회 재가 노인을 위한 영성 훈련 프로그램의 효과

국문 초록 (Abstract)

본 연구는 영성 훈련 프로그램이 지역사회 재가 노인의 영적안녕과 자아통합감에 미치는 효과를 알아보기 위하여 수행되었으며 동등성 대조군 사전, 사후 실험연구 설계를 이용하였다.
자료수집 기간은 2012년 3월 14일부터 2012년 5월 2일까지였으며, 서울시 소재의 2개 교회에서 운영하는 노인대학에 참여한 65세 이상의 노인 29명을 대상으로 하였다. G구 교회 노인대학의 11명을 실험군으로, N구 교회 노인대학의 18명을 대조군으로 편의표집하였다. 영성 훈련 프로그램은 기독교 영성을 기반으로 하였으며 영성의 기본 속성들에 근거하여 본 연구자가 자체 개발하였다. 실험군에게는 주 1회, 총 8주 간 영성 훈련 프로그램을 제공하였고 대조군에게는 기존의 노인대학 프로그램에 참여하도록 하였으며 프로그램 전, 후에 영적안녕과 자아통합감을 설문조사하였다. 수집된 자료는 SPSS 12.0 version을 이용하여 분석하였고 기술 통계, 카이제곱 검정, Wilcoxon 부호순위 검정, Mann-whitney U test, Cronbach`s α의 통계방법을 사용하였다.

연구 결과는 다음과 같다.
1) 실험군과 대조군의 동질성 검정에서 두 군 간에 통계적으로 유의한 차이가 없었다.
2) 실험군에서는 실험 전, 후로 영적안녕(Z=-2.61, p=.009)과 자아통합감(Z=-2.65, p=.008)이 통계적으로 유의하게 증가하였다.
2) 대조군에서는 실험 전, 후로 영적안녕(Z=-1.35, p=.187)과 자아통합감(Z=-.88, p=.379)이 통계적으로 유의하게 증가하지는 않았다.
3) 실험군에서의 영적안녕의 향상정도와 대조군에서의 향상정도를 비교한 결과 실험군에서의 영적안녕의 향상정도가 통계적으로 유의하게 높았다(U=51.50, p=.031).
4) 실험군에서의 자아통합감의 향상 정도와 대조군에서의 향상 정도를 비교한 결과 실험군에서의 향상 정도가 높았으나 통계적으로 유의하지는 않았다(U=63.00 p=.122).

이상의 연구결과를 통해 영성 훈련 프로그램이 노인의 영적안녕을 유의하게 향상시키고 자아통합감을 부분적으로 증대시킴을 알 수 있었다. 노인 간호 중재에 영성 훈련 프로그램이 포함된다면 노인의 영적안녕과 자아통합감이 향상되어 노인의 전인적인 건강이 증진될 수 있을 것으로 보인다.


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핵심어: 노인, 영성, 영적안녕, 자아통합감

다국어 초록 (Multilingual Abstract)

This study was conducted to identify effects of the spirituality training program (STP) on spiritual well-being and ego integrity in the elderly, using an equivalent control group pretest-posttest design.

Data were collected from March 14 to May 2, 2012 and 29 older adults were recruited who attended to elderly academies in two churches located in two different districts of the city of Seoul. Eleven elders from a church were assigned to experimental group and 18 elders from the other church to control group with a convenience sampling method. The STP was developed by the author herself on the basis of christian spirituality. The STP was applied to the experimental group once a week (70 minutes) for 8 weeks while the elderly academy program to the control group. Participants' spiritual well-being and ego integrity were evaluated before and after the STP. Using the SPSS 12.0 program, descriptive statistics, Chi-square tests, Wilcoxon’s signed-ranks test, Mann-whitney U test and Cronbach's α were performed.

Major results of the study were as follows :
1) There was no difference in general characteristics of participants between the experimental and control group.
2) In the experimental group, both the spiritual well-being and ego integrity scores were increased with statistical significance after the STP (Z=-2.61, p=.009; Z=-2.65, p=.008, respectively).
3) In the control group, both the spiritual well-being and ego integrity scores were increased after the STP, but there was no statistical significance. (Z=-1.35, p=.187; Z=-.88, p=.379, respectively).
4) The extent of the increase in the spiritual well-being score of the experimental group was significantly higher than that of the control group (U=51.50, p=.031).
5) The extent of the increase in the ego integrity score of the experimental group was higher than that of the control group, but there was no statistical significance (U=63.00, p=.122).


Results of this study showed that the STP improved elders' spiritual well-being significantly and ego integrity in part. It is suggested that the STP can be included in gerontological nursing interventions targeted to improve the spiritual well-being and ego integrity of older adults. However, replication studies first are necessary to confirm the findings of this study.
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Key words : elderly, spirituality, spiritual well-being, ego integrity

목차 (Table of Contents)

• 논문개요 ⅰ
• I. 서론 ························································································ 1
• 1. 연구의 필요성 ······································································· 1
• 2. 연구의 목적············································································ 3
• 3. 연구의 가설············································································ 4
• 4. 용어의 정의············································································ 4
• II. 문헌고찰 ················································································· 5
• 1. 노인의 자아통합감과 영성························································ 5
• 2. 노인의 영적 안녕····································································6
• 3. 영성의 정의와 속성································································· 8
• 4. 노인의 영성훈련 프로그램······················································ 12
• III. 연구방법················································································ 14
• 1. 연구 설계············································································· 14
• 2. 자료 수집 기간 및 연구 대상자··············································· 14
• 3. 연구도구·············································································· 15
• 4. 노인 영성훈련 프로그램························································· 16
• 5. 자료수집방법 및 진행절차······················································ 21
• 6. 자료 분석 방법····································································· 22
• Ⅳ. 연구결과 ··············································································· 23
• 1. 대상자의 일반적 특성···························································· 23
• 2. 종속변수에 대한 사전 동질성 검증·········································· 25
• 3. 가설 검증············································································ 26
• Ⅴ. 논의 ····················································································· 36
• Ⅵ. 결론 및 제언 ········································································· 41
• 1. 요약 및 결론········································································· 41
• 2. 제언····················································································· 42
• 참고문헌 ···················································································· 44
• 부록 ·························································································· 51
• Abstract ····················································································57