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A Study of Social Support, Loneliness, Sleep Quality, and Perceived Health Status among Community-dwelling Older Adults

지역사회 노인의 사회적 지지, 고독감, 수면의 질, 지각된 건강상태에 관한 연구

  • Kang, Yun-Hee (Ewha Womans University, College of Health Sciences, Division of Nursing) ;
  • Kim, Mi-Young (Ewha Womans University, College of Health Sciences, Division of Nursing) ;
  • Lee, Gun-Jeong (Ewha Womans University, College of Health Sciences, Division of Nursing) ;
  • Jung, Duk-Yoo (Ewha Womans University, College of Health Sciences, Division of Nursing) ;
  • Ma, Rye-Won (Ewha Womans University, College of Health Sciences, Division of Nursing)
  • 강윤희 (이화여자대학교 건강과학대학 간호과학부) ;
  • 김미영 (이화여자대학교 건강과학대학 간호과학부) ;
  • 이건정 (이화여자대학교 건강과학대학 간호과학부) ;
  • 정덕유 (이화여자대학교 건강과학대학 간호과학부) ;
  • 마예원 (이화여자대학교 건강과학대학 간호과학부)
  • Received : 2012.07.12
  • Accepted : 2012.08.14
  • Published : 2012.08.31

Abstract

Purpose: This study was conducted to examine the correlation between social support, loneliness, sleep quality, and perceived health status among community-dwelling older adults. Methods: Older adults who lived in urban and rural local communities were taken into account. Among them, 396 people participated in this study. Path analysis was conducted in order to verify the study model and its verification. SPSS WIN 18.0 and AMOS17.0 were used for analysis of collected data. Results: The results showed that social support had a significant effect on perceived health status (${\beta}$=.17, p= .003) and loneliness (${\beta}$=-.56, p<.001), while loneliness had a significant effect on perceived health status (${\beta}$=-.12, p=.045) and sleep quality (${\beta}$=.20, p<.001). In addition, the results also indicated that sleep quality had a significant influence on perceived health status (${\beta}$=-.16, p <.001). According to results derived from the model, Chi-square=.359, df=1 NC=.359, CFI=1.0, NFI=0.98, RMSEA=.000; thus, the model was shown to be significant. Conclusion: For maintenance of the health of the aged, social support, loneliness, and sleep quality should be secured; in order to realize this, an effort should be made toward health promotion while providing the aged with more social attention.

Keywords

References

  1. Burke, K. E., Schnittger, R., O'Dea, B., Buckley, V., Wherton, J. P., & Lawlor, B. A. (2012). Factors associated with perceived health in older adult Irish population, Aging & Mental Health, 16(3), 288-295. https://doi.org/10.1080/13607863.2011.628976
  2. Buysse, D. J., Reynolds, C. F. 3rd. Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatric Research, 28, 193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  3. Cacioppo, J. T., Hawkley, L. C., Crawford, E., Ernst, J. M., Burlwson, M. H., & Kowalewski, R. B. (2002). Loneliness and health: Potential mechanism. Psychosomatic Medicine, 64, 407-417. https://doi.org/10.1097/00006842-200205000-00005
  4. Cornwell, E. Y., & Waite, L. J.(2009). Social discontentedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50, 31-48. https://doi.org/10.1177/002214650905000103
  5. Drageset, J., Espehaug, B., & Kirkevold, M. (2012). The impact of depression and sense of coherence on emotional and social loneliness among nursing home residents without cognitive impairment-a questionnaire survey. Journal of Clinical Nursing, Article first published online: 18 JAN 2012.
  6. Eser, I., Khorshid, L., & Cinar, S. (2007). Sleep quality of older adults in nursing homes in Turkey: Enhancing the quality of sleep improves quality of life. Journal of Gerontological Nursing, 33(10), 42-49.
  7. Edell-Gustafsson, U. M., Kritz, E. I., & Bogren, I. K. (2002). Self-reported sleep quality, strain and health in relation to perceived working conditions in females. Scandinavian Journal of Caring Science, 16, 179-187. https://doi.org/10.1046/j.1471-6712.2002.00078.x
  8. vaz Fragoso, C. A., & Gill, T. M. (2007). Sleep complaints in community-living older person: A multifactorial geriatric syndrome. Journal of American Geriatrics Society, 55, 1853-1866. https://doi.org/10.1111/j.1532-5415.2007.01399.x
  9. Golden, J., Conory, R., Bruce, I., Denihan, A., Greene, E., Kirby, M., & Lawlor, B. (2009). Loneliness, social support network, mood and well-being in community-dwelling elderly. International Journal of Geriatric Psychiatry, 24, 694-700. https://doi.org/10.1002/gps.2181
  10. Haseli-Mashhadi, N., Dadd, T., Pan, A., Yu, Z., Lin, X., & Franco, O. H. (2009). Sleep quality in middle-aged and elderly Chinese: Distribution, associated factors and associations with cardio-metabolic risk factor. BMC Public Health, 9(9), 130. https://doi.org/10.1186/1471-2458-9-130
  11. Hawkley, L. C., & Cacioppo, J. T. (2003). Loneliness and pathways to disease. Brain, Behavior, and Immunity, 17, S98-S105. https://doi.org/10.1016/S0889-1591(02)00073-9
  12. Hawkley, L. C., & Cacioppo, J. T. (2007). Aging and Loneliness: Downhill quickly?. Current Directions in Psychological Science, 16, 187-191. https://doi.org/10.1111/j.1467-8721.2007.00501.x
  13. Hawkley, L. C., Preacher, K. J., & Cacioppo, J. T. (2010). Loneliness impairs daytime functioning but not sleep duration. Health Psychology, 29, 124-129. https://doi.org/10.1037/a0018646
  14. Hawkley, L. C., Thisted, R. A., & Cacioppo, J. T. (2009). Loneliness predicts reduced physical activity: cross-sectional and longitudinal analyses. Health Psychology, 28, 354-363. https://doi.org/10.1037/a0014400
  15. Hwang, M. H. (2000). A model of self are and well-being of elderly. Unpublished doctorial dissertation. Kyungpook National University, Daegu.
  16. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
  17. Hur, J. S. (2011). Determinants of loneliness among the users and non-users of senior welfare center. Journal of Welfare for the Aged, 53, 101-131.
  18. Jacobs, J. M., Hammerman-Rozenberg, R., & stressman, J. (2006). Global sleep satisfaction of older people: The Jerusalem Cohort Study. Journal of the American Geriatrics Society, 54, 325-329. https://doi.org/10.1111/j.1532-5415.2005.00579.x
  19. Kim, Y., Seo, S., Kwon, O., & Cho, M. (2012). Comparison of dietary behavior, food intake, and satisfaction with food related life between the elderly living in urban and rural areas. Korean Journal of Nutrition, 45(3), 252-263. https://doi.org/10.4163/kjn.2012.45.3.252
  20. Kline, R. X. (2005). Principles and practice of structural equation modeling. (2nd ed). New York: Guilford Press.
  21. Lee O. S. (2000). The relationship between the rehabilitation motive and social support perceived by spinal cord injury patients. Unpublished master's thesis, Catholic University, Seoul.
  22. Russell, D., Peplau, L. A., & Cutrono, C. E. (1980). The revised UCLA loneliness scale: Concurrent and discriminant validity evidence. Journal of Personality Psychology, 39, 472-480. https://doi.org/10.1037/0022-3514.39.3.472
  23. Segrin, C., & Domschke, T. (2011). Social support, loneliness, recuperative processes, and their direct and indirect effects on health. Health Communication, 26, 221-232. https://doi.org/10.1080/10410236.2010.546771
  24. Sok S. R., & Choi, J. Y. (2010). Factors influencing sleep of elderly women. Journal of Korean Academy of Nursing, 40(1), 119-126. https://doi.org/10.4040/jkan.2010.40.1.119
  25. Speake, D. L., Cowart, M. E., & Pellet, K. (1989). Health perceptions and lifestyles of the elderly. Research in Nursing & Health, 12(2), 93-100. https://doi.org/10.1002/nur.4770120206
  26. Tabachnick, B. G. & Fidell, L. S. (2001). Using Multivariate Statistics (4thed.). Needham Heights: A Pearson Education Company.
  27. Theeke, L., A. (2010). Sociodemographic and health-related risks for loneliness and outcome differences by loneliness status in a sample of U.S. older adults. Research in Gerontological Nursing, 3(2), 113-125. https://doi.org/10.3928/19404921-20091103-99
  28. Victor, C. R., Scambler, S. J., Bowling, A. N. N., & Bond, J. (2005). The prevalence of, and risk factors for, loneliness in later life: a survey of older people in Great Britain. Ageing & Society, 25(6), 357-375. https://doi.org/10.1017/S0144686X04003332
  29. Wilson, R. S., Krueger, K. R., Arnold, S. E., Schneider, J. A., Kelly, J. F., & Barners, L. L. (2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 64, 234-240. https://doi.org/10.1001/archpsyc.64.2.234
  30. Won, H. J. (1994). The Effects of Leisure Participation of Seoul Metropolitan Area's Senior Residents on their Loneliness, Leisure Satisfaction, and Life Satisfaction. Journal of the Korea Gerontological Society, 14(2), 90-104.
  31. Youn, J. H. (2004). A study on IBS and stress perceived by college woman and their dietary and sleeping quality. Unpublished master's thesis, Ewha Womans University, Seoul.
  32. Zimet, G .D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional scale of perceived social support. Journal of Personality Assessment, 55(3-4), 610-617. https://doi.org/10.1207/s15327752jpa5503&4_17

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