시설거주노인의 사회적 네트워크 유형에 관한 탐색적 연구: 노인요양시설 외부 관계자원을 중심으로 = An Exploratory Study of Social Network Type among Nursing Home Residents: Focusing on External Relationship Resources of Nursing Facilities

다국어 초록 (Multilingual Abstract)

The purpose of this research was to derive social network types, connected with outside the facilities, among older adults who reside in nursing homes and to probe the characteristics of each type of social network at the exploratory level. Data were obtained from 230 older residents in 30 nursing homes located at a metropolitan city in Korea. Eligibility criteria of this study required that the participants had cognitive abilities to respond to the questions and had lived in nursing facilities at least 6 months. A series of statistical methods such as latent class analysis, chi-square analysis, t-test and ANOVA were conducted to investigate social network types of nursing home residents. The results revealed that the nursing home residents had three distinct network types: child dependent type (68.3%), non-kin relation type (13.9%), and limited diverse type (17.8%). The older adults with kin and family intensive type showed that the number of children and the frequency of contact with children were above the means, but they rarely involved in religious activities and interaction with friends. Those with non-kin relation type rarely involved in interaction with children, friends and kin, and they were less likely to participate in religious activities. The elderly with limited diverse type had frequent contacts with children, friends and kin, and also were more likely to go to religious activities. However, there were significant relationship between social network type and their socio-demographic characteristic or health status. Based on the results of this research, implications for research, practice and policy as well as directions for future studies were discussed.

참고문헌 (Reference)

1 임소영, "한국 노인의 사회관계망 유형과 건강상태의 관계: 남녀집단별 분석" 한국노인복지학회 59 (59): 281-308, 2013

2 최선희, "한ㆍ일 시설거주 노인의 정신건강: 우울 및 스트레스를 중심으로" 한국노년학회 24 (24): 129-147, 2004

3 오인근, "저소득 노인들의 사회적 네트워크와 무망감이 자살생각에 미치는 영향: 사회복지관 서비스이용의 조절효과" 한국노인복지학회 44 (44): 111-130, 2009

4 오미나, "재가노인과 시설노인의 자아존중감, 죽음불안 및 우울에 관한 연구" 대한가정학회 43 (43): 105-118, 2005

5 국민건강보험공단, "장기요양보험 행복한 동행(웹진). 제46호"

6 조지용, "잠재집단분석을 이용한 퇴직자의 사회적 관계유형 변화에관한 종단적 연구" 한국가족복지학회 18 (18): 599-623, 2013

7 탁영란, "여성노인의 사회적지지 및 도구적 지지요구와 우울에 관한 연구" 9 (9): 449-456, 2003

8 오인근, "여성노인의 사회적 관계망이 우울에 미치는 영향 연구-건강증진행위의 매개효과를 중심으로-" 한국가족복지학회 14 (14): 113-136, 2009

9 이지영, "서비스 관리자가 인식한 장기요양서비스의 질에 대한 질적 연구: 서비스의 질 개념, 방해요인 및 질 평가를 중심으로" 한국노인복지학회 53 (53): 27-48, 2011

10 서선희, "농촌 노인 가구의 사회적 관계망의 기능에 관한 연구:전남 지역을 중심으로" 한국농촌사회학회 14 (14): 179-203, 2004

11 천의영, "노인의 사회 연결망 유형과 건강상태와의 관련성" 한국간호과학회 40 (40): 88-98, 2010

12 차승은, "노인의 결혼지위 점유에 따른 건강차이: 노년기 사회적 관계망의 매개효과를 중심으로" 한국노년학회 27 (27): 371-392, 2007

13 이민홍, "노인요양시설의 입소과정에서 제공해야 하는 정보는 무엇인가?" 한국사회복지행정학회 15 (15): 23-44, 2013

14 강환세, "노인복지시설 사회화와 시설노인의 생활만족도 및 우울과의 관계" 한국노인복지학회 39 (39): 301-320, 2008

15 장수지, "노년기 사회적 관계망의 구조적, 기능적 측면과 주관적 삶의 질의 관계 −전후기노인 및 성별에 따른 비교를 중심으로−" 사회과학연구소 26 (26): 75-100, 2010

16 Gray, A., "The social capital of older people" 29 : 5-31, 2009

17 Bosworth, H. B., "The relationship of social environment, social networks, and health outcomes in the Seattle Longitudianl Study: Two analytical approaches" 52B : P197-P205, 1997

18 Litwin, H. L., "The association of background and network type among older Americans : Is"Who you are"related to"Who you are with"?" 33 (33): 735-759, 2011

19 Litwin, H. L., "The association between social network relationships and depressive symptoms among older Americans : what matters most?" 23 (23): 930-940, 2011

20 Lo, Y., "Testing the number of components in a normal mixture" 88 : 767-778, 2001

21 Lund, R., "Stability and change in structural social relations as predictor of mortality among elderly women and men" 16 : 1087-1097, 2000

22 Sugisawa, H., "Social networks, social support, and mortality among older people in Japan" 49 (49): S3-S13, 1994

23 Antonucci, T. C., "Social networks in adult life and a preliminary examination of the convoy model" 42 : 519-527, 1987

24 Fiori, K. L., "Social network typologies and mental health among older adults" 61 : 25-32, 2006

25 Litwin, H. L., "Social network type and subjective well-bing in a national sample of older Americans" 51 (51): 379-388, 2011

26 Litwin, H. L., "Social network type and morale in old age" 41 (41): 516-524, 2001

27 Firori, K. L., "Social network type among older adults: A multidimensional approach" 62 (62): 322-330, 2007

28 Hanson, B. S., "Social network and social support influence mortality in elderly men" 130 (130): 100-111, 1989

29 Yang, Y. C., "Social isolation and adult mortality : The role of chronic inflammation and sex differences" 52 (52): 182-202, 2013

30 Yasuda, N., "Relation of social network characteristics to 5-year mortality among young-old versus old-old white women in an urban community" 145 : 516-523, 1997

31 Firori, K. L., "Profiles of social relations among older adults : A cross-cultural approach" 28 : 203-231, 2008

32 Jones, R. N., "Prevalence and correlates of recognized depression in U. S. nursing homes" 51 (51): 1404-1409, 2003

33 Magai, C., "Physical hardness and styles of socioemotional functioning in later life" 58B : P269-P279, 2003

34 Johnson, R., "Older adults’ participation in nursing home placement decisions" 19 (19): 358-375, 2010

35 Litwin, H. L., "Network type and mortality risk in later life" 46 (46): 735-743, 2006

36 Patterson, A. C., "Loneliness and risk of mortality : A longitudinal investigation in Alameda country, California" 71 (71): 181-186, 2010

37 Magidson, J., "Latent class models for clustering : A comparison with K-means" 20 : 37-44, 2002

38 Hill, K. G., "Early adult outcomes of adolescent binge drinking : Person-and variable-centered analyses of binge drinking trajectories" 24 : 892-901, 2000

39 Thakur, M., "Depression in long-term care" 9 (9): 82-87, 2008

40 Sheikh, J. H., "Clinical gerontology:A guide to assessment and intervention" Haworth Press 165-173, 1986

41 Jung T., "An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass" 2 (2): 302-317, 2008

42 Jedidi, K., "A maximum likelihood method for latent class regression involving a censored dependent variable" 58 (58): 375-394, 1993

43 정경희, "2011년도 노인실태조사" 한국보건사회연구원 2012