후기노인의 허약, 사회적 지지, 건강관련 삶의 질 간의 관계

이정화(Lee, Jeong Hwa),김은휘(Kim, Eun Hwi),서순림(Suh, Soon Rim) 한국노년학회 2018 한국노년학 Vol.38 No.4

본 연구는 허약의 고위험군인 후기노인의 건강관련 삶의 질 향상을 위한 기초자료를 제공하고자 허약, 사회적 지지 및 건강관련 삶의 질 간의 관계를 조사하였다. 서술적 조사연구인 본 연구를 위하여 2016년 03월 01일 부터 03월 31일까지 K군에 소재하는 노인복지시설에서 75세 이상 노인을 대상으로 구조화된 설문지를 이용하는 일대일 면담을 통해 총 211명의 자료를 수집하였다. 수집된 자료는 SPSS/WIN과 Amos 18.0 프로그램으로 t-test, Pearson’s correlation coefficient 및 경로분석을 사용하여 분석하였다. 80세를 기준으로 한 연령집단 간 차이검정결과, 80세 이상인 경우 유의하게 허약수준이 더 높고(t=-2.51, p=.013), 건강관련 삶의 질이 낮았으나 (t=3.29, p=.001), 사회적 지지는 유의한 차이를 보이지 않았다(t=1.28, p=.201). 허약, 사회적지지, 건강관련 삶의 질 간의 상관관계 분석결과, 허약수준이 높을수록 사회적 지지(r=-.21, p=.003)와 건강관련 삶의 질이 유의하게 낮았고(r=-.65, p<.001), 건강관련 삶의 질은 사회적 지지가 높을수록 유의하게 높았다(r=.18, p=.010). 사회적 지지와 건강관련 삶의 질 사이에서 허약의 매개효과를 조사한 결과, 사회적 지지는 허약에(β=-.21, p=.016) 허약은 건강관련 삶의 질에 유의한 직접효과를 미치나(β=-.06, p=.004), 사회적 지지는 건강관련 삶의 질에 유의한 직접효과를 미치지 않고(β=.00, p=.562) 허약을 매개하여 유의한 간접효과를 미쳐(β=.01, p=.012) 사회적 지지와 건강관련 삶의 질 사이에서 허약의 완전매개효과가 있었다. 사회적 지지는 허약을 예방하고 허약수준의 개선은 건강관련 삶의 질을 증진시킨다. 그러므로 후기노인의 건강관련 삶의 질 제고를 위해 연령별 사회적 지지 방안을 포함하는 다면적인 허약 예방 프로그램의 개발이 필요하다. This study investigated the relation between frailty, social support, and health-related quality of life to provide basic data to improve the health-related quality of life of old-old elderly who are a high risk group for frailty. For this descriptive study, one-on-one interviews with structured questionnaires were conducted for elderly aged 75 years or older at elderly welfare facilities in K county from March 01 to 31 in 2016, and a total of 211 elderly were interviewed. The collected data were analyzed by t-test, Pearson’s correlation coefficient, and path analysis using SPSS/WIN and AMOS 18.0 program. For the differences between the age groups, those aged over 80 years had a significantly higher frailty (t=-2.51, p=.013) and a lower health-related quality of life than those aged below 80 years (t=3.29, p=.001); however, there was no significant difference in social support (t=1.28, p=.201). The correlation between frailty, social support and health-related quality of life showed that as frailty became higher, social support (r=-.21, p=.003) and health-related quality of life (r=-.65, p<.001) were significantly lower, and health-related quality of life was significantly higher with a higher social support (r=.18, p=.010). As a result of investigating the mediating effects of frailty between social support and health-related quality of life, social support had a significant direct effect on frailty (β=-.21, p=.016) and frailty had a significant direct effect on health-related quality of life (β=-.06, p=.004); however, social support had no significant direct effect on health-related quality of life (β=.00, p=.562). Social support had a significant indirect effect on health-related quality of life and a mediating effect on frailty (β=.01, p=.012); therefore, the full mediation effect of frailty between social support and health-related quality of life was verified. Social support prevents frailty, and improving frailty enhances health-related quality of life. Therefore, it is necessary to develop a multifactorial frailty prevention program that includes age-specific social support strategies to improve the health-related quality of life in old-old elderly.

노인의 건강증진 행위 및 삶의 질에 영향을 미치는 요인

박은숙,김순자,김소인,전영자,이평숙,김행자,한금선 고려대학교 1999 간호학논집 Vol.1 No.-

노인의 건강상태가 삶의 질에 미치는 영향

정재필 ( Jae Pil Jung ),이은령 ( Eun Ryeong Lee ),신미숙 ( Mi Sook Sin ) 한국노인의료복지학회 2012 노인의료복지연구 Vol.4 No.1

The purpose of this study is to determine the relationship between the health-promoting behaviors and quality of life and adjusting effects in state of health targeting the elderly who live in Korea. According to the analysis of the secondary materials from <2009 The Fourth National Health and Nutrition Examination Survey> by Korea Centers for Disease Control and Prevention on 1575 seniors in the age older than 65 years, the following conclusions were obtained. 1) The difference in health status by the general characteristics. The health status appeared to be better in male subjects, lower age, higher level of education, living with spouse, living in the residential town houses, with more economic activity and higher house hold income and with company medical insurance. 2) The quality of life by the general characteristics and health status. The variable that regulate the health status was economic activity. In both group, with and without economic activity, subjects with higher health status had better quality of life and there was a correlation found between the economic activity and health status. 3) The relationship between factors related to quality of life. In the relationship between factors related to the quality of life, it was found that the health status(r=0.493) were significantly correlated displaying better quality of life with more higher health status. 4) Factors affecting the quality of life. Factors affecting quality of life are seen as the following attributes, gender, age, housing type, economic activity, total household income, health insurance type, and health status.It was appeared that the quality of life is better in male subjects, lower age, residential apartments or townhouse housing type, economic activity, higher household income, local medical insurance, and higher health status.

노인의 건강증진행위와 건강상태 및 삶의 질의 관계

김원기(Kim, Won-Ki) 한국체육과학회 2012 한국체육과학회지 Vol.21 No.5

The purpose of this study was to examine the relationship among health promotion behavior, health status and quality of life of elderly. To attain the goal, this research examined 287 aged persons(124 men, 163 women) at the age of 65 or more living in A-si, Gyeonggi-do with the convenience sampling method. For the data analysis, SPSS was used to conduct independent t-test, one-way ANOVA, and multiple regression analysis. First, according to the personal characteristics, there was significant difference in their health promotion behavior, health status, and quality of life. In other words, as they are younger and their academic career is higher, their health promotion behavior, health status, and quality of life are greater. Second, health promotion behavior affects health status significantly. In other words, they suffer from no disease as their interpersonal relationship is better, they exercise more, and their health responsibility is higher. And as their interpersonal relationship is better, they exercise more, and they mange their stress better, their subjective health status is higher. Third, health promotion behavior affects quality of life significantly. In other words, as their interpersonal relationship is better, quality of life in terms of their finance, body, and family is higher. And as they exercise more, quality of life in terms of their body is higher. And as their health responsibility is greater, quality of life in terms of their body and family is higher. Also, as they manage their nutrition and stress better, quality of life in terms of their finance is higher. In conclusion, in order to improve the aged"s health and quality of life, it is needed to improve their lifestyle and practice health promotion behavior.

성인들의 구강건강인식에 따른 스트레스와 생활만족도, 구강건강관련 삶의 질의 차이

김은주(Eun-ju Kim),우승희(Seung-Hee Woo) 한국구강보건과학회 2020 한국구강보건과학회지 Vol.8 No.4

Objectives: The purpose of this study was to examine the differences in the level of stress, life satisfaction, and quality of life related to oral health according to the degree of perception of oral health among adults. Methods: Using a self-written questionnaire, general characteristics, oral health perception, stress, life satisfaction, and oral health-related quality of life were investigated. Results: Life satisfaction according to the perception of oral health of the study subjects showed a significant difference at the level of p<0.001 for oral health knowledge and oral health status, and the quality of life related to oral health was p<0.001 for oral health knowledge and oral health condition. There was a significant difference in level. In the correlation, stress and life satisfaction, oral health-related quality of life were negatively correlated, life satisfaction and oral health-related quality of life were positively correlated, showing a significant difference at p<0.01 level. Conclusions: The overall quality of life including life satisfaction and oral health related quality of life should be improved through continuous oral health education and stress management for adults.

인문,사회과학편 : 보건소 운동 프로그램 참여 노인의 주관적 건강인지에 따른 삶의 질과 생활 만족도와의 관계

이연종(YeonJongLee) 한국체육학회 2009 한국체육학회지 Vol.48 No.2

이 연구는 농촌 보건소에서 건강 증진 사업의 하나로 실시되고 있는 운동프로그램에 참여한 노인들을 대상으로 설문지를 이용하여 주관적 건강 인지에 따른 삶의 질과 삶의 만족도 간의 관계를 실험적으로 분석한 결과, 첫째, 자가 인지 건강상태가 높았을 때 육체, 정신적 및 사회적인 삶의 질이 높게 그리고 수행관련 건강 문제가 없을 때 심리적, 사회적 삶의 질이 높게 나타났으며, 또한 타인과 비교해서 건강 상태가 높다고 스스로 느낄 때 육체, 정신적, 심리적, 사회적인 삶의 질이 높게 나타났다. 둘째, 자가 인지 건강상태가 높았을 때 과거 생활 만족도가 그리고 수행관련 건강 문제가 없을 때는 과거와 현재 생활 만족도가 높게 나타났으며, 또한 타인과 비교해서 건강 상태가 높다고 스스로 느낄 때 현재 및 미래에 대한 생활 만족도가 높게 나타났다. 셋째, 심리적, 경제 물리적 환경적인 삶의 질 요인은 과거 생활 만족도에 그리고 육체, 정신적 건강, 심리적, 사회적, 경제 물리적, 환경적 인 삶의 모든 요인은 현재 생활 만족도에 영향을 크게 미치는 것으로 나타났으며, 또한 미래의 만족도는 사회, 경제 물리적 환경적인 삶의 요인에 의해서 영향을 받는 것으로 나타났다. The purpose of this study was to examine the relationship between life satisfaction and quality of life by subjective health recognition of rural elderly people participated in exercise program of community health center. The subjects were 180 elderly people who participated in exercise program of community health center. Questionaires included the contents of subjective health recognition, life satisfaction and quality of life. The results were as follows;1. The higher self health recognition showed the higher physical, mental, and social elements of life quality. When it did not have any health problem of casual activity, it showed the higher in psychological and social life quality. And when elderly people felt higher health status , it showed the higher in physical, mental, psychological and social life quality.2. The higher self health recognition showed the higher life satisfaction in past time. When it did not have any health problem of casual activity, it showed the higher life satisfaction in past and present time. And when elderly people felt higher health status, it showed the higher life satisfaction in present and future time.3. The psychological, economical, physical and environmental factor in life quality effected the life satisfaction in past time. The physical, mental, psychological, social, economical, and environmental factor in life quality effected the life satisfaction in present time. The future life satisfaction is affected by the social, economical, physical and environmental factor.

잠재계층분석을 활용한 한국 1인 가구의 건강관련 삶의 질 유형화

이지수 한국융합과학회 2023 한국융합과학회지 Vol.12 No.9

연구목적 본 연구는 한국 1인 가구의 건강관련 삶의 질에 영향을 미치는 주요 영향요인들을 바탕으로 잠재계층분석 방법을 적용하여 잠재계층을 분류하고, 그 유형과 특성을 파악하여 한국 1 인 가구의 건강관련 삶의 질을 지속적으로 유지하고 증진시킬 수 있는 간호중재 개발의 기초자료로 제공하고자 시행된 연구이다. 연구방법 2016년에서 2019년도까지 총 4년의 국민건강영양조사 자료를 병합하여 사용한 횡단연구이고 연구 대상자는 전체 응답자 중 1인 가구만 추출하여분석한 이차 자료 분석 연구로써 SPSS 25 (IBM, New York, USA)을 이용하여 기술통계 분석과Mplus 8 (Muthen & Muthen, Los Angeles, CA, USA을 이용한 잠재계층분석 방법을 시행하였다. 연구결과 한국 1인 가구의 건강관련 삶의 질은 잠재계층분석을 통해 ‘건강관련 삶의 질 -전반적 안정형 그룹’, ‘건강관련 삶의 질-활동 저하 그룹’, ‘건강관련 삶의 질-통증 불편 그룹’으로총 3개의 잠재계층으로 분류되었다. 건강관련 전반적 안정형 그룹은 삶의 질 5가지 척도가 모두충족된 것을 보였고, 건강관련 활동 저하 그룹은 운동능력과 일상활동이 저하됨을 알 수 있었다. 또한 건강관련 통증 불편 그룹은 만성질환이나 질환을 앓고 있는 집단으로 삶의 질 저하를 나타냄을 알 수 있었다. 결론 본 연구는 잠재계층분석을 적용하여 한국 1인가구의 건강관련 삶의 질위험계층을 파악하고 삶의 질에 영향을 미치는 요인을 확인하는 새로운 시도로써, 1인 가구의건강관련 삶의 질을 지속적으로 유지하고 증진시키고 삶의 질 향상을 관리하는 적극적 예방정책을 세우는데 유용한 자료를 제공하였다는데 의의가 있다. Purpose The purpose of this study was to identify the types of quality of life (QoL) of single-person households in Korea based on the five dimensions of EQ-5D and to predict factors affecting the types of quality of life. Methods This study was secondarily analyzed using data from the National Health and Nutrition Examination Survey. The subjects were 2,054 adult single-person households, and data were analyzed using SPSS 20.0 and Mplus 8 for latent analysis. Results The health-related quality of life of single-person households in Korea was analyzed through potential class analysis: 'type 1: Health-related quality of life - overall stable group', 'type 2: health-related quality of life-low activity group', 'type 3: health-related quality of life-pain discomfort group' ' was classified into a total of three latent layers. The health-related overall stable group showed that all five measures of quality of life were satisfied, and the health-related activity-decreased group showed deterioration in motor ability and daily activities. In addition, it was found that the health-related pain discomfort group was a group suffering from chronic diseases or diseases and showed a decrease in quality of life. As a result of comparing latent type 1 and latent type 2, socioeconomic status (p<.05), employment status (p<.05), and subjective health status (p<.001) were found to be significant. As a result of comparing latent type 1 and latent type 3, socioeconomic status (p<.05), current smoking status (p<.001), and subjective health status (p<.001) were found to be significant. As a result of comparing latent type 2 and latent type 3, socioeconomic status (p<.05), subjective health status (p<.001), and stress (p<.001) were found to be significant. Conclusion The results showed significant heterogeneity in quality of life types, and the predictors of health-related quality of life by type were also different. These findings provide basic information for developing nursing interventions to improve quality of life. Subtype specific characteristics should be considered during the development of interventions.

Meaning and Status of Health-related Quality of Life Recognized by Medical Professionals: a Qualitative Study

Jeehee Pyo,Minsu Ock,Park Bohyun,Nam-eun Kim,Eunjeong Choi,박혜숙,Hyeong Sik Ahn 대한의학회 2021 Journal of Korean medical science Vol.36 No.3

Background: Medical professionals must maintain their health to provide quality medical care to patients safely. However, the health-related quality of life of medical professionals is a complex issue that currently lacks a standardized evaluation approach. Therefore, the purpose of this study was to identify their perceptions of the health-related quality of life of medical professionals and explore ways to measure their quality of life as accurately. Methods: This study explored the subjective health status and well-being of Korean medical professionals by conducting three focus group discussions (FGDs) with 12 physicians and 6 nurses (November to December 2019). In the FGD, we elicited participants' opinions on existing health-related quality of life measurement tools. Also, we analyzed transcribed data through content analysis. Results: Participants in this study noted the ambiguity in the current definitions of health provided by the World Health Organization. They shared various problems of their health, mainly concerning fatigue and sleep disorders due to their work pattern. Also, participants shared anxiety, burden, and fear of negative consequences due to the complexity of their work. Participants voiced the necessity of a questionnaire on health-related quality of life that reflects the working lives of medical professionals. Conclusion: Medical professionals in Korea were mainly criticizing about health-related quality of life problems caused by their work characteristics. The results of this study will provide valuable information for future health-related quality of life surveys targeting medical professionals in Korea, and also help to determine the method for monitoring the health- related quality of life for health professionals. In addition, the aspects and items identified by medical professionals as important for their health-related quality of life may be used as a basis for developing a new health-related quality of life measurement tools for medical professionals.

한국 성인의 치통 경험과 구강건강행태가 건강관련 삶의 질에 미치는 영향 -국민건강영양조사 제8기(2019-2020) 2차 자료를 이용하여

정선락,장지언 대한예방치과·구강보건학회 2022 大韓口腔保健學會誌 Vol.46 No.4

Objectives: This study aimed to investigate the relationship between toothache, oral health behaviors, and the quality of health-related life of Korean adults. A national nutrition survey representative of Korea was used. The study presents basic material for developing health improvement and dental health programs to highlight the importance of oral health management and Health-Related Quality of Life improvement. Methods: The second edition of the 8th national health nutrition survey data was used for this study. The subjects were 5,922 Korean adults aged 19 years and above. Results: There was a significant difference in gender, age, marital status, education, income, toothache experience, subjective oral health condition, and the number of daily toothbrushes in participants’ Health-Related Quality of Life. For gender, “male” had an overall higher quality of life which was statistically significant. In toothache experience, Health-Related Quality of Life was significantly higher at 0.027 with “none” (P<0.01). In addition, higher conditions of subjective oral health at 0.077 showed a significantly higher quality of life (P<0.01). Conclusions: This study revealed that higher subjective oral health conditions in Korean adults resulted in higher Health-Related Quality of Life and subjectively better oral health conditions. This means that active health management is possible, and concrete systematic health education program development is urgently needed. Oral health improvement can improve Health-Related Quality of Life. It is necessary to recognize the importance of oral health to improve Health-Related Quality of Life through oral health prevention and promotion programs for adults.

지역사회 노인의 건강행위와 삶의 질에 관한 연구

김수옥,박영주 노인간호학회 2000 노인간호학회지 Vol.2 No.1

The level of health perception and health behavior are highly related to the level of a person's quality of life. The purpose of this study was to identify the relationship of perceived knowledge of health and health behavior being practiced in daily life, and to prove the effect on quality of life in the rural elderly. The subjects of this study were 62 male and 421 female elderly, over the age of 60, registered and managed in S-Gun Medical Center which is located in Chonnam Province, Korea. The data were collected from September through November, 1999. The instruments used in this study were the health assessment tool for the aged, developed by Choi and Kim(1997) and the life satisfaction scale developed by Diener, et al. (1985). The data were analyzed by using descriptive statistics, t-test. pearson correlation coefficients ANOVA and stepwise multiple regression. The results of this study are as follows-' 1. Individual health behavior showed a significant positive correlation with gender, age, occupation, family type, education level, religion. The level of health behavior practice was high in the elderly who were younger, educated highly, male, religious, employed and living together with family members. 2. Quality of life showed significant positive correlation with gender, age, occupation, family type, education level, religion. The level of quality of life was high in the elderly who were younger, more educated, religious, employed and living together with family members. 3. Individual general health behaviors are statistically correlated with individual health perception. The more perception about health on physical, emotional, social, and spiritual aspects, the higher practice of health behavior. 4. Quality of life is statistically correlated with the practice of health behaviors in physical, emotional, social, spiritual and general aspects. Especially, individual health behaviors related to emotional aspects which were characterized by 'having spent a day joyfully' and 'having a quiet and easy life' showed a high correlation with individual quality of life. 5. Factor analysis revealed that the practice of health behavior related to emotional aspects(24.7%) significantly influenced the quality of life. In conclusion, the result of this study show that emotional aspects are more important than other aspects (physical, social and spiritual aspects). Therefore, nursing needs to focus more on the emotional aspects of the health promotion program in order to improve the quality of life for Korean rural elderly.