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장인순,오두남 호서대학교 기초과학연구소 2014 기초과학연구 논문집 Vol.22 No.1
본 연구의 목적은 지역사회 재가노인의 생활만족도에 영향을 주는 요인을 다차원적으로 파악하여 노인의 생활만족도를 높여주는 간호중재 방안을 마련하기 위한 기초자료를 제공하기 위한 것이다. 조사대상은 중소 도시에 거주하고 있는 65세 이상 재가 남녀 노인 738명이었다. 조사기간은 2009년 4월에서 6월까지 2개월간이었으며, 조사는 훈련받은 조사보조원들에 의한 인터뷰나 자가설문 기록을 통해 실시되었다. 자료는 서술적 기술통계, t-test, ANOVA, 분산분석, 상관관계분석 (Pearson correlation analysis)과 단계적 회귀분석 (stepwise multiple regression)으로 분석하였다. 연구결과 조사대상자의 생활만족도에 영향을 미치는 요인을 규명하기 위해 일반적 특성,신체적 건강상태,자아존중감, 사회적지지, 가족결속력 및 가족지지 등의 변수들에 대해서 단계적 희귀분석을 실시한 결과 유의수준 0.05%에서 유의한 변수 로 자아존중감이 43.1%의 설명력을 보였고,다음은 또래 비교시 건강상태,가족결속력, 통증 및 불편감, 사회적지지,건강문제,가족지지, 종교,연령 등의 순으로 나타났는데, 이들 9개 변수의 총 설명력은 61.6%이었다. 본 연구결과를 토대로,지역사회 재가 노인의 생활만족도 수준 향상과 성공적 노화를 위한 구체적 간호중재 개발 에 활용될 수 있을 것으로 기대된다.
일부 농촌 지역 노인 만성질환자 가족의 부담감에 관한 연구
장인순,Jang, In-Sun 한국가정간호학회 1995 가정간호학회지 Vol.2 No.-
The purpose of this study was to analysis level on family caregiver's burden for the elderly with chronic disease in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales(1982), ADL by Lawton(1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 213 family caregiver of elderly with chronic disease in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows ; 1. Total burden was evaluated below average, the mean of family burden was 46.98. By the diagnostic classification, Hypertension was 27.37, DM 32.46, CVA 62.96, Dementia 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the patient's disease diagnosis (F=33.82, p<0.001), severity of dementia(F=30.52, p<0.001), the status of disease management(F=11.53, p<0.001), ADL(F=10.54, p<0.001), PADL(F=7.50, p<0.001), income(F=7.17, p<0.001), caregiver's health status(F=24.53, p<0.001), a view of patient's prognosis (F=22.17, p<0.001), relationship with the patient(F=33.82, p<0.001), the number of hours per day spent on caregiving(F=77.52, p<0.001), level of intimacy of caregiver and patients(F=8.75, p<0.001), level of helping(F=4.90, p<0.01), the frequency of caregiving activity(F=3.80, p<0.01), the number of admission(F=5.54, p<0.01), the length of caregiving(F=4.43, p<0.01), other chronic patient in family(t=2.81, p<0.01), caregiver's job(F=3.11, p<0.01), the duration of illness(F=2.98, p<0.05), caregiver's religion(F=2.93, p<0.05), medical security(F=3.89, p<0.05), caregiving's helper(t=2.42, p<0.05). 3. PADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, IADL, caregiver's health status, the length of caregiving. level of intimacy of caregiver and patients, patient's age, the patient's disease diagnosis and patient's job accounted for 76% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the diagnostic classification, number of priority care group, Hypertension was 4 (8.0%), DM 4(8.0%), CVA 34(64.1%), Dementia 45(75.0%).
복지관 이용 노인의 건강관련 특성에 따른 우울정도 비교
장인순,박승미 한국자료분석학회 2014 Journal of the Korean Data Analysis Society Vol.16 No.4
본 연구의 목적은 복지관 서비스를 이용하고 있는 노인의 건강관련 특성에 따른 우울정도를 비교하는 것이다. 본 연구는 서울시 거주하며 지역내 복지관을 이용하고 있는 65세 이상 노인으로 최종분석에서는 182명을 대상으로 하였다. 주요 연구도구는 단축형 노인 우울척도(GDS-15), 일상생활수행능력(K-ADL, K-IADL), 한국판 간이정신상태검사(MMSE-K) 도구였다. 수집된 자료는 SPSS window version 21.0 프로그램을 이용하여 빈도, 백분율, t-test, 일원분산분석, 사후검정은 Scheffe test를 실시하였다. 주요 연구결과는 복지관 이용 노인의 우울정도가 5점 이상인 경우 62.1%였으며, 대상자가 위장병, 빈혈, 배뇨장애가 있는 경우, 일상생활수행능력(K-ADL)에서는 한 항목이라도 도움이 필요하다고 응답한 경우가 그렇지 않은 경우에 비해 우울정도가 통계적으로 높게 나타났다. 인지기능 점수가 낮은 경우, 하루 30분 이상 걷기와 같은 운동을 실천하지 않는 경우, 어지럼증이 있는 경우, 수면상태가 나쁜 경우, 식욕상태는 저하된 경우 그렇지 않은 대상자에 비해 우울정도가 통계적으로 유의하게 높았다. 본 연구에서 나타난 복지관 이용 노인의 건강관련 특성에 따른 우울정도 비교 결과를 가지고 복지관이나 지역사회에서 우울예방을 위한 프로그램 개발이나 건강관리사업 수립 시 기초자료로 활용할 수 있을 것이다. The purpose of this study was to compare the levels of depression among the elderly who visited a senior center according to their health-related characteristics. A cross-sectional and structured questionnaires were employed. The subjects were 182 senior over 65 years old who visited a senior center and lived in Seoul. GDS, K-ADL, K-IADL, and MMSE-K were used for data collection. Descriptive statistics, independent t-test, one-way ANOVA, and Scheffe test were performed using SPSS WIN 21.0. The prevalence of depression (GDS ≥ 5) was 62.1%. The level of depression was significantly higher in the elderly with stomach problem, anemia, dysuria, low MMSE-K level, dependent ADL score, dizziness, bad sleep, and bad appetite. The level of depression was significantly lower in the elderly exercising over 30 minute in a day. These information should be used to develop and implement depression prevention programs in senior centers or communities.
청소년 성관계, 성교육 경험 및 피임실천의 추이: 2006년에서 2019년까지 청소년 건강행태 온라인 자료
장인순,최은희 한국학교보건학회 2020 韓國學校保健學會誌 Vol.33 No.2
Purpose: The purpose of this study was to identify 14 years of trends in sexual intercourse and sex educationexperiences among Korean adolescents from 2006 to 2019, based on online data. Methods: The study was asecondary analysis using the raw data of the 2nd (2006) through 15th (2019) Youth Risk Behavior Web-basedSurvey. The data of 504,105 male adolescents and 473,053 female adolescents were used for the analysis. Acomplex-sample cross-analysis (Rao-Scott x2 test) was performed to identify differences in sexual intercourse,sex education experience, and contraception over time, and logistic regression was performed to identify factorsaffecting adolescent sexual intercourse. Results: Sexual intercourse was found to increase as the yearprogressed. More high school students had sexual experiences than middle school students. Students who hadever smoked or drunk were more likely to have had sexual intercourse than the ones who had not. Students livingwith relatives or living in boarding houses or dormitories showed a higher rate of sexual intercourse than thoseliving with family members. Students who never received sex education also showed a high rate of sexualintercourse. Conclusion: It is significant to grasp the trends in sexual intercourse, sex education experience, andcontraception among adolescents over time. Providing adolescents with healthy sex education is becoming moreand more important every year and health-related education including sex education that meets the need ofteenagers should be incorporated into the regular curriculum.