만성질환 노인환자가 인지한 가족지지, 우울, 삶의 만족도와의 관계 = Relation among the Family Support, Depression, and the Life Satisfaction of the Elderly Patients with Chronic Illness

다국어 초록 (Multilingual Abstract)

The purpose of this study is to identify the perceived family support, depression, and the life satisfaction of the elderly patients, and to draw a correlation among them. It is for providing basic information needed in the supportive care intervention to help the elderly patients with chronic illness and their family, to make a proper nursing plan, and to keep satisfactory life.
The convenience sample for the present study was composed of 74 elderly patients, who were hospitalized in E university hospital with the diagnosis of chronic illness from september 2 to september 28 in 2002. The family support was measured using the Social Support Inventory for People with Acquired Disabilities(SSIPAD)(McColl & Friedland, 1991) and the Family Support tool(Cho, 1995). Depression was measured using Short Form Geriatric Depression Scale(Yesvage, 1986). The Life satisfaction was measured using Life Satisfaction Index-Z(Wood, Wylie, & Sheafor, 1969). T-test, ANOVA, Pearson Correlation, Stepwise Multiple Regression were utilized to analyze the data. The results were as following.
The correlation between the family support and depression was r=-.40, a moderate and negative relationship, indicating that the higher family support was, the lower the depression was. The correlation between the family support and the life satisfaction was r=.48, a moderate and positive relationship, indicating that the higher the family support was, the higher life satisfaction was too. The correlation between depression and the life satisfaction was r=-.73, a fairly high and negative relationship, indicating that the higher the depression was, the lower the life satisfaction was. The most significantly influential variable to the patient's life satisfaction in the study was depression(R^(2)=.53) and the family support(R^(2)=.04). These variables explained 57.2% of the variances in the life satisfaction.
Out of previous studies on the elderly patients of chronic illness or general elderly people, there was no study which investigated the support of elderly people by discriminating the extent of support into major support providers and other providers. This study might provide the fundamental information to identify who the most important family member for the elderly person is, and what the frequency, period, and the contents of the support provided by the family member.
The findings of the present study suggest that there is a significant correlation among the family support, depression, and the life satisfaction of the elderly patients with chronic illness. Depression and the family support are such elements which should be considered necessarily when developing intervention programs for patients as a prediction factor accounting for the life satisfaction of the elderly patient with chronic illness.

목차 (Table of Contents)

• 목차 = ⅰ
• Ⅰ. 서론 = 1
• 1. 연구의 필요성 = 1
• 2. 연구의 목적 = 3
• 3. 용어의 정의 = 3
• Ⅱ. 문헌고찰 = 6
• 1. 노인의 만성질환 = 6
• 2. 가족지지와 우울, 삶의 만족도 = 7
• 3. 연구의 이론적 개념틀 = 13
• Ⅲ. 연구방법 = 14
• 1. 연구 설계 = 14
• 2. 연구 대상 및 수집방법 = 14
• 3. 연구 도구 = 14
• 4. 자료분석 = 16
• 5. 연구의 제한점 = 16
• Ⅳ. 연구 결과 = 17
• 1. 대상자의 일반적 특성 = 17
• 2. 대상자의 가족지지, 우울, 삶의 만족도 정도 = 20
• 3. 대상자의 일반적 특성에 따른 가족지지, 우울, 삶의 만족도 정도 = 20
• 4. 가족지지, 우울, 삶의 만족도간의 상관관계 = 23
• 5. 삶의 만족도 예측요인 = 24
• Ⅴ. 논의 = 25
• Ⅵ. 결론 및 제언 = 30
• 참고문헌 = 32
• 부록 = 39
• Abstract = 48