주관적 청력저하에 따른 노인입원환자의 간호서비스 만족도 비교연구 = A Comparative Study on Nursing Service Satisfaction according to Subjective Hearing Loss among Elderly inpatients

다국어 초록 (Multilingual Abstract)

Ⅸ. ABSTRACT*
A Comparative Study on Nursing Service Satisfaction according to
Subjective Hearing Loss among Elderly inpatients
Da-Jeong Kim
Department of Nursing, Graduate School
Chungnam National University
Daejeon, Korea
(Supervised by Professor Myonghwa Park)
This study aimed to examine differences in nursing satisfaction among
elderly inpatients according to the degree of subjective hearing loss and to
identify factors influencing their perceived nursing service satisfaction.
Hearing loss is a prevalent age-related health issue that restricts communication, reduces social participation, and negatively affects the
psychological well-being of elderly people. As elderly inpatients often
depend heavily on verbal communication with healthcare professionals,
subjective hearing difficulties may have a substantial impact on their
perceptions of nursing care quality.
This study employed a descriptive comparative research design.
Participants were elderly patients aged 65 years or older admitted to a
general ward at a university hospital in Daejeon, South Korea, and data
were collected using structured questionnaires, including demographic
characteristics, health-related factors, subjective hearing loss levels, and
nursing service satisfaction measured by the SERVQUAL framework.
Nursing service satisfaction and its sub-dimensions(tangibles, reliability,
responsiveness, assurance, and empathy) were analyzed using t-test,
one-way ANOVA, and post-hoc analyses.
Results showed significant differences in overall nursing service
satisfaction according to subjective hearing loss and hearing duration.
Participants with mild subjective hearing loss reported higher satisfaction
(4.28±0.48) than those with moderate to severe loss(4.11±0.46). Nursing
service satisfaction was also significantly lower among those with longer
duration of hearing loss(p=.044). Among the sub-dimensions, reliability,
responsiveness, assurance, and empathy demonstrated significant differences
according to hearing-related characteristics, while tangibles showed no
significant difference. Communication with healthcare providers and nurses’
consideration of hearing difficulties were strong predictors of overall nursing
service satisfaction and all SERVQUAL sub-domains(p<.001).
In conclusion, subjective hearing loss plays a meaningful role in
elderly inpatients’ evaluation of nursing services. Improving
communication strategies, screening for hearing difficulties upon
admission, and providing hearing-sensitive nursing care may enhance
service satisfaction and overall care quality for elderly inpatients.
Keywords: Hearing loss, Older adults, Nursing service satisfaction,
Communication, SERVQUAL, ARHLQ, elderly inpatients

목차 (Table of Contents)

• Ⅰ. 서론
• 1. 연구의 필요성 1
• 2. 연구 목적 4
• 3. 용어의 정의 5
• Ⅱ. 문헌고찰
• 1. 노인의 주관적 청력저하 7
• 2. 간호서비스 만족도 10
• Ⅲ. 연구 방법
• 1. 연구 설계 13
• 2. 연구 대상 13
• 3. 연구 도구 14
• 4. 자료 수집 16
• 5. 윤리적 고려 16
• 6. 자료 분석 17
• Ⅳ. 연구 결과
• 1. 연구 대상자의 일반적 특성 및 건강 관련 특성 18
• 2. 연구 대상자의 일반적 특성에 따른 청력저하 22
• 3. 연구 대상자의 건강관련 특성에 따른 청력저하 25
• 4. 연구 대상자의 일반적 특성에 따른 간호만족도 27
• 5. 연구 대상자의 건강관련 특성에 따른 간호만족도 29
• 6. 청력저하에 따른 간호서비스 만족도 31
• Ⅴ. 논의
• 1. 노인입원환자의 인구·사회학적 특성과 주관적 청력저하 33
• 2. 노인입원환자의 간호만족도 38
• 3. 주관적 청력저하에 따른 간호서비스 만족도 차이 41
• 4. 연구의 의의 42
• 5. 제한점 43
• Ⅵ. 결론 및 제언 44
• Ⅶ. 참고문헌 46
• Ⅷ. 부록 53
• Ⅸ. ABSTRACT 69