Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Comparison of Health Status, Sleep and Depression by the Employment Status in the Elderly

직업 유무에 따른 노인의 건강상태, 수면 및 우울의 비교연구

  • Jeon, Hae-Ok (Department of Nursing, Cheongju University) ;
  • Kim, Ok-Soo (Division of Nursing Science, Ewha Womans University)
  • Received : 2011.12.02
  • Accepted : 2012.03.08
  • Published : 2012.03.31
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Abstract

The purpose of this study was to compare the health status, sleep and depression and to examine relationships between health status, sleep and depression by employment status in the elderly. This study used the data from the "2008 Korean National Survey on Older Adults" by Ministry of Health, Welfare and Family. Out of the total 15,146 Korean elderly surveyed, 5,204 subjects with job and 9,942 subjects without job at the present were used in a final analysis. There were significant differences in health status, sleep and depression by employment status. As for old adults with job, job satisfaction had the greatest effect on depression, followed by perceived health status, difficulty of daily activities by disease, and deep-sleeping days in the order. These variables accounted for 29% of depression. As for old adults without job, perceived health status had the greatest effect on depression, followed by difficulty of daily activities by disease, deep-sleeping days and total sleeping time in the order. These variables accounted for 32% of depression. Therefore, the health-promotion intervention to improve the health status, sleep and depression of the elderly should be planed and provided considering such differences by employment status.

본 연구의 목적은 직업유무에 따라 노인의 건강상태, 수면 및 우울을 비교하고, 건강상태와 수면이 우울과 관련이 있는지를 파악하는 것이다. 본 연구는 보건복지가족부가 실시한 "2008 노인실태조사"의 자료를 사용하였으며, 총 조사대상자 15,146명 중 직업이 있는 노인 5,204명과 직업이 없는 노인 9,942명이 최종분석에 이용되었다. 연구결과에 따르면 직업 유무에 따라 건강상태, 수면 및 우울에 유의한 차이가 있었다. 직업이 있는 노인의 경우 직업만족도가 우울에 가장 큰 영향을 미치는 요인으로 나타났으며, 주관적 건강상태, 현재 질병으로 인한 일상생활의 어려움 정도, 숙면을 취한 일수 순서로 유의한 영향을 미치는 것으로 나타났다. 이 변수들의 우울에 대한 설명력은 29%로 나타났다. 직업이 없는 노인의 경우 주관적 건강상태가 우울에 가장 큰 영향을 미치는 것으로 나타났으며, 현재 질병으로 인한 일상생활의 어려움 정도, 숙면을 취한 일수, 총 수면 시간 순으로 우울에 유의한 영향을 미치는 것으로 파악되었다. 이 변수들의 우울에 대한 설명력은 32%로 나타났다. 그러므로 노인의 건강상태, 수면, 우울을 향상시키기 위한 건강증진 중재는 직업유무에 따른 이러한 차이를 고려하여 계획되고 제공되어야 한다.

Keywords

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