허약노인의 주관적 건강인식 = Self-rated Health of Frail Elders

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to explore the experiences of frail elders regarding self-rated health. Methods: A qualitative descriptive method was used. Data were collected using individual in-depth interviews and filed notes from seven frail elders in South Korea. A phenomenological approach was used to analyze the data. Results: The study clarified one core theme, four compositional elements, and ten transformation of meaning units of frail elders regarding self-rated health. The core theme ‘Self-acceptance through the downward comparison’ encompassed the compositional elements of (a) Unpredictable body, (b) Acceptance of the situation, (c) Creating my own health baseline and (d) Building supportive relationships. Conclusion: The results of this study provide valuable nursing knowledge for understanding the experiences of frail elders regarding self-rated health that will contribute to developing nursing intervention on their behalf.

참고문헌 (Reference)

1 이인숙, "지역사회 거주 노인의 허약선별도구 타당도 평가" 한국지역사회간호학회 22 (22): 302-314, 2011

2 서문진희, "주관적 건강인식과 사회적 지지가 노인자살 생각에 미치는 영향- 우울감 매개효과를 중심으로-" 한국노인복지학회 (54) : 361-385, 2011

3 문상식, "주관적 건강인식과 건강검진 결과의 비교분석을 통한 건강행위 연구" 한국보건교육건강증진학회 18 (18): 11-36, 2001

4 신영희, "일 도시 노인의 성공적인 노화 관련 요인" 한국노년학회 29 (29): 1327-1340, 2009

5 곽지현, "심리적 통제전략과 안녕감 간의 관계:전생애통제이론을 중심으로 청년, 중년, 노년성인의 비교" 한국노년학회 26 (26): 565-580, 2006

6 권상민, "거주유형별 노인의 허약정도, 건강증진 행위 및 주관적 건강상태 비교" 한국농촌의학.지역보건학회 35 (35): 1-12, 2010

7 Rolfson DB, "Validity and reliability of the Edmonton Frail Scale" 35 (35): 526-529, 2006

8 Fried LP, "Untangling the concepts of disability, frailty, and comorbidity : implications for improved targeting and care" 59 (59): 255-263, 2004

9 McGeorge SJ., "Unravelling the differences between complexity and frailty in old age : findings from a constructivist grounded theory study" 18 (18): 67-73, 2011

10 Frieswijk N, "The interpretation of social comparison and its relation to life satisfaction among elderly people : does frailty make a difference?" 59 (59): 250-257, 2004

11 Kim SM., "The effects of the memory belief, control strategies on the psychological well-being of subjective memory impairments in older adults" Konyang University 2012

12 Seeman TE., "Social ties and health : the benefits of social integration" 6 (6): 442-451, 1996

13 Idler EL, "Self-rated health and mortality : a review of twenty-seven community studies" 38 (38): 21-37, 1997

14 Quinn AC, "Self-perceived health status following aneurysmal subarachnoid haemorrhage: a cohort study" 4 (4): e00393-, 2014

15 Drubbel I, "Screening for frailty in primary care : a systematic review of the psychometric properties of the frailty index in community-dwelling older people" 14 : 27-\, 2014

16 Giorgi A., "Phenomenology and psychological research" Duquesne University 216-, 1985

17 Kaplan GA, "Perceived health and mortality : a nine-year follow-up of the human population laboratory cohort" 117 (117): 292-304, 1983

18 Park HR., "Korea older adults successful aging process" Korea University 141-, 2011

19 Tannenbaum C., "How to treat the frail elderly : The challenge of multimorbidity and polypharmacy" 7 (7): 183-185, 2013

20 Ebrahimi Z, "Health despite frailty : exploring influences on frail older adults' experiences of health" 34 (34): 289-294, 2013

21 Choi S-H., "Health Behavior with disparity patterns selfperceived Health Status and Body Mass Index Result" Kyonggi University 107-, 2005

22 Chen X, "Frailty syndrome : an overview" 9 : 433-441, 2014

23 Fried LP, "Frailty in older adults : evidence for a phenotype" 56 (56): 146-156, 2001

24 Clegg A, "Frailty in elderly people" 381 (381): 752-762, 2013

25 Ebrahimi Z, "Frail elders' experiences with and perceptions of health" 22 (22): 1513-1523, 2012

26 Guba EG, "Effective evaluation: improving the usefulness of evaluation results through responsive and naturalistic approaches" Jossey-Bass 423-, 1981

27 Kim HS, "A study on self-rated health, health promotion behavior, and health-related quality of life in the elderly" 8 (8): 117-127, 2006

28 Meng Q, "A single-item self-rated health measure correlates with objective health status in the elderly : a survey in suburban Beijing" 2 : 27-, 2014

29 Rockwood K, "A brief clinical instrument to classify frailty in elderly people" 353 (353): 205-206, 1999