一部地域 老人들의 主權的 建康水潗에 영향을 미치는 IADL에 관한 硏究 = A Study on the IADL Affecting Subjective Health Index of the Aged in Some Area

다국어 초록 (Multilingual Abstract)

This research have been made to define how the IADL (Instrumental Activity of Daily Living) performance and the subjective health index of the Aged are affected by their residential circumstance, gender and age, and how deeply these two factors are related and interact.
For the period of June 1 to July 31, 2000, we had conducted a questionnaire and direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent area, grouping into three different residential types The Aged living at home, The Aged living at welfare facilities and The Aged living alone, and studied on how the IADL performance and the subjective health index of the Aged are influenced and interact as per their characteristics, daily activity and mentality.
We had analyzed all the data obtained through this research by the method of :
- analysis of frequency as per specific factors by SPSS 10.0/PC+,
- x^2 test,
- t - test,
- ANOVA,
- multiple regression analysis by factors.
The research concludes followings :
a. It appears that the three (3) factors such as gender, age and residential circumstance of the Aged deeply affect the IADL performance and subjective health index of the Aged. (p＜0.01)
b. With regard to IADL performance of the Aged by the gender, it was analyzed that the female-Aged gains 23.8 point on average, which shows the performance of the female-Aged is less independent. (p＜0.01). In addition, it was also found that the IADL performance is becoming less and less independent following their age increasing.
In analyzing IADL performance by the residential type, it appears that the Aged living at welfare facilities gains the lowest 21.5 points and is least independent.
It was also found that the Aged living at welfare facilities need some assistances from others for their performing IADL. (20-24 point) (p＜0.001)
c. With regard to the subjective health index of the all-Aged participated in this research, the analysis indicates 8.8 point and this is considered as a point of general standard (7-10 point).
In analyzing this index by the gender, the female-Aged gains only 8.6 point which explains a lot of female-Aged consider they are not really healthy. (p＜0.001)
In analyzing this index by the residential type, the Aged living at welfare facilities and the Aged living alone gain the comparatively lower point, - respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone.
The Aged living at these two residential types express they are obviously in a bad situation of health. (p＜0.001)
d. With regard to the factors affecting the IADL performance and the subjective health index of the Aged, it was analyzed that the IADL performance can largely be affected by the factors such as depression, frequency of going-out and age rising, and that the subject health index can also deeply be affected by depression, pain and by how much they are satisfied with their current living conditions.
e. It was analyzed that the interacting between the IADL performance and the subjective health index is not that strong but even weak.
As a result, we were able to conclude that the IADL performances is less independent in case of the female-Aged, the Aged living at welfare facilities, and following the age rising.
As for the subjective health state the Aged themselves are aware of, we concluded that the female-Aged, the Aged living at welfare facilities and the Aged living alone, are more critical about their health.
From this research, we were able to realize that, when the OMT (Orthopedic Manual Therapy) needed, the physical therapists are really required to have a correct and cautious understanding of the situation in which the aged persons are, and take care of them with more concerns and more improved treatment.

목차 (Table of Contents)

• 서 론
• 1 연구의 필요성
• 2 연구의 목적
• 연구방법
• 1 연구대상
• 2 연구방법
• 3 자료의 통계처리 및 분석
• 연구결과
• 1 조사대상 노인의 특성
• 11 조사대상 노인의 일반적 특성
• 12 조사대상 노인의 일상활동의 특성
• 13 조사대상 노인의 심리적 특성
• 2 조사대상 노인의 IADL 정도
• 21 IADL 정도의 항목별 분포
• 22 일반적 특성별 IADL 정도
• 23 일상활동별 IADL 정도
• 24 심리적 특성별 IADL 정도
• 25 일반적 특성별 IADL 점수 비교
• 3 조사대상 노인의 주관적 건강지수
• 31 주관적 건강 수준 항목별 건강지수 분포
• 32 일반적 특성별 주관적 건강지수 정도
• 33 일상활동별 주관적 건강 지수 정도
• 34 심리적 특성별 주관적 건강 지수 정도
• 35 일반적 특성별 주판적 건강 지수 점수 비교
• 4 조사대상자의 IADL 정도에 대한 요인 분석
• 5 주관적 건강지수에 영향을 미치는 요인
• 고 찰
• 요약 및 결론