생태학적 체계이론에 기반한 남자독거노인의 자살생각 예측모형 = Prediction model of suicidal ideation in elderly men living alone based on ecological system theory

다국어 초록 (Multilingual Abstract)

This study was conducted to build the predictive model influencing on suicidal ideation of elderly men living alone.
Based on Bronfenbrenner(1967) and Kemp(1998)’s ecological system theory and previous studies consideration related to suicidal ideation of elderly men living alone, the conceptual foundation and the hypothetical model were made up. And it included self esteem, social isolation, individual coping, subjective health status, family cohesion, social support, ageism, social activity as exogenous variables and included hopelessness, depression, and suicidal ideation as endogenous variables.
As for the subject, 251 people suitable for the selection criteria were selected among elderly men living alone above age sixty five living in the 1 region in Gyeongnam, 3 regions in Gyeongbuk and to secure the study ethicality, the data collection was performed with the structured questionnaire after the IRB approval(GIRB-G14-Y-0003) of IRB of Gyeongsang National University.
With the collected data, demographic characteristics of participants, descriptive statistics, reliability of measurements, and the correlation between variables were analyzed with SPSS WIN 20.0 and Covariance structure analysis for goodness-of-fit test of the hypothetical model and hypothesis test was conducted with AMOS 18.0.
The results are as follows:
1) The goodness-of-fit test result of hypothetical model were suitable for recommended level: χ2/df=1.47, RMR=.04, GFI=.92, AGFI=.90, CFI=.95, IFI=.95, RMSEA=.04.
2) The variables(self esteem, individual coping, family cohesion, social support, social activity, depression) included in this hypothetical model explained 55% of the model of suicidal ideation. The most influential factor of suicidal ideation was self esteem, and social isolation did not have direct and indirect influence on suicidal ideation.
To sum up the above results, if we promote self esteem, family cohesion, social activity, individual coping and social support tested as the final result variables in this study and develop/utilize an efficient customized suicidal prevention nursing intervention program reducing depression, social isolation, suicidal ideation of elderly men living alone would be prevented.

목차 (Table of Contents)

• Abstract ⅴ
• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 4
• 3. 용어의 정의 5
• Ⅱ. 문헌고찰 8
• 1. 독거노인의 자살생각 8
• 2. 노인자살의 이론적 배경 13
• 3. 남자독거노인의 자살생각에 영향을 미치는 요인 21
• Ⅲ. 이론적 기틀 43
• 1. 이론적 기틀 43
• 2. 가설적 모형 45
• 3. 연구가설 47
• Ⅳ. 연구방법 48
• 1. 연구설계 48
• 2. 연구대상 48
• 3. 자료수집 방법 49
• 4. 윤리적 고려 49
• 5. 연구도구 50
• 6. 자료분석 방법 55
• Ⅴ. 연구결과 56
• 1. 대상자의 일반적 특성 56
• 2. 연구변수에 대한 서술적 통계 59
• 3. 연구변수간의 상관관계 61
• 4. 연구변수에 대한 확인적 요인분석: 타당성 평가 61
• 5. 가설적 모형의 검정 62
• 6. 가설적 모형의 효과분석 67
• 7. 가설 검정 69
• Ⅵ. 논 의 72
• 1. 남자독거노인의 자살생각 예측모형의 타당성 72
• 2. 남자독거노인의 자살생각에 미치는 영향 요인 74
• 3. 간호학적 의의 81
• 4. 연구의 제한점 81
• Ⅶ. 결론 및 제언 82
• 1. 결론 82
• 2. 제언 83
• 참고 문헌 84
• 부록 98