女性 老人患者의 삶의 質 = (THE) QUALITY OF LIFE IN ELDERLY WOMAN PATIENTS / d 崔順玉

다국어 초록 (Multilingual Abstract)

The purposes of this study are to assess the quality of life and identify factors influencing the quality of life in the elderly woman patients aged 65 years and older and to suggest the plans of aging welfare policy for improving the quality of life of elderly woman who consists of most of the elderly in aging society. A total of 103 elderly woman outpatients visiting one university hospital from March 10 to 20, 2000 were selected. Data were collected by interview and self-reported questionnaires
The collected data were analyzed statistically by using the SPSS 9.0 computerized program. Two-group comparison was made with unpaired t-tests. and more three groups, one-way ANOVA. Correlation was assessed using Pearson Correlation coefficient. P<0.05 was considered statistically significant.
The results were summarized as follows:
1) Quality of life(QOL) was rated as very poor in 2.9%, poor in 22.3%, neither poor or good in 57.3%, good in 15.5% and very good in 1.9% of all subjects even though they stated their health status as very poor in 10.7%, poor in 64.1%, neither poor or good in 14.6% good in 5.8%, very good in 4.9%. Overall QOL and scores of each domains were significantly higher in those of having good health than those of poor one.
2) Overall QOL and scores of each domains were not statistically different between the subjects according to the difference of the age, education, religion, spouse, alcohol-smoking, number of living adult child, and number of people living together, family structure, family visiting, insurance, paying hospital bill, house care, care-giver, and main activity except higher scores of environmental domain in subjects who had education and higher scores of social relationship domain in those with religion and in those with care-giving family respectively.
3) Thirty-eight(36.9%) subjects had at least one disability in the activities of daily living(ADL) and 72 subjects(69.9%) in instrumental activities of daily living(IADL). The overall QOL was significantly higher in those with no disability in both ADL and IADL but there was no difference in scores of social relationship domain and environmental domain between the subjects with one or more disability and those without disability in IADL.
4) Twenty-two(21.4%) subjects were classified as having definitive cognitive impairment, 31 (30.1%) as having questionable impairment, and 50(48.5%) as having no impairment by the Korean version of the mini-mental state examination. Although there was a trend toward higher level in scores in subjects without impairment of cognitive function, this did not reach statistical significance in overall QOL. Subjects with definitive impairment in cognitive function had lower scores than those with no impairment in environmental domain and psychological domain, respectively.
5) Presence of depression was detected in 29.1% of all subjects and scores of overall QOL and each domains were significantly low in subjects with depression.
6) Overall QOL was strongly correlated with physical health domain(r=0517), psychological domain(r=0.685) and environmental domain(r=0.433) but weakly correlated with social relationship (r=0.198). There was also a strong correlation between psychological and environmental domains(r=0.672) and there was no correlation between physical health and social relationship domain(r=0.198)
7) Factors affecting QOL were heath status, ADL, IADL, depression. and cognitive function. Religion and care-giver influenced the social relationship domain and education also influenced the environmental domain.
In conclusion, subjects who are in good health status and who have no disability in an ADL and IADL have good QOL but subjects who are in bad health status, who have one or more disability of the ADL and IADL, and who have associated current illness, impairment of cognitive function and depression have poor QOL. Services for elderly woman might be keep them independent and preventive health services and development of health promoting programs are an important part of social welfare for elderly woman.

목차 (Table of Contents)

• 목차 = ⅰ
• Abstract = ⅴ
• Ⅰ. 서론 = 1
• 1. 연구의 필요성 = 1
• 2. 연구의 목적 = 2
• 3. 연구방법 = 3
• 4. 연구의 제한점 = 3
• 5. 용어의 정의 = 4
• Ⅱ. 이론적 고찰 = 5
• 1. 노인의 인구학적 변화와 여성노인의 특성 = 5
• 2. 노인의 건강상태와 여성노인환자의 특성 = 6
• 3. 삶의 질 개념과 WHOQOL 삶의 질 척도 = 8
• Ⅲ. 연구방법 = 17
• 1. 분석 틀 = 17
• 2. 연구대상 = 18
• 3. 연구도구 = 18
• 4. 자료수집방법 = 21
• 5. 자료처리 및 분석방법 = 22
• Ⅳ. 연구결과 = 23
• 1. 대상자의 특성 = 23
• 2. 대상자의 특성에 따른 전반적 삶의 질과 영역별 삶의 질 = 28
• 3. 삶의 질에 영향을 주는 요인들 = 39
• 4. WHOQOL의 전반적 삶의 질과 각 영역별 삶의 질과의 상관관계 = 39
• Ⅴ. 논의 = 41
• Ⅵ. 결론 및 제언 = 47
• 1. 결론 = 47
• 2. 제언 = 49
• 참고문헌 = 52
• 부록 = 59