Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Effects of Social Support and Class Cohesiveness on Health-related Quality of Life in Middle School Students

일부 지역 중학생의 사회적 지지와 학급응집력이 건강관련 삶의 질에 미치는 영향

  • Chang, Eun-Ji (Graduate School of Public Health, Kyungpook National University) ;
  • Kam, Sin (Graduate School of Public Health, Kyungpook National University) ;
  • Hong, Nam-Soo (Graduate School of Public Health, Kyungpook National University) ;
  • Park, Ki-Soo (Department of Preventive Medicine, School of Medicine, and Institute of Health Sciences, Gyeongsang National University)
  • 장은지 (경북대학교 보건대학원) ;
  • 감신 (경북대학교 보건대학원) ;
  • 홍남수 (경북대학교 보건대학원) ;
  • 박기수 (경상대학교 의학전문대학원 예방의학교실 및 건강과학연구원)
  • Received : 2014.08.22
  • Accepted : 2014.12.15
  • Published : 2014.12.31
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Abstract

Objectives: Health-related quality of life (HRQoL) is an important outcome for middle school students. This study was designed to illustrate the effect of social support and class cohesiveness associated on HRQoL. Methods: The subjects comprised 516 students from three middle schools in Daegu, South Korea that responded to a self-administered questionnaire in February 2014. The purposes of the questionnaire were explained to the subjects. Results: The total mean of HRQoL was $81.1{\pm}15.3$. Social functioning showed the highest score of $87.1{\pm}15.3$ and emotional functioning showed the lowest score of $73.8{\pm}21.5$. Teacher support (B=3.185, p=0.001) had a significant effect on the physical health summary scores. Class cohesiveness (B=2.237, p=0.022), friendships (B=5.102, p<0.001) and teacher support (B=2.498, p=0.006) had a significant effect on the psychosocial health summary scores. Finally, class cohesiveness (B=2.137, p=0.016), friendships (B=4.133, p<0.001) and teacher support (B=2.670, p=0.001) had a significant effect on the overall scores. Conclusion: The results of this study provide a basis for the development of strategies to improve health-related quality of life for middle school students, namely that relevant programs should be based on the improvement of social support and class cohesiveness.

본 연구는 중학생들의 건강관련 삶의 질과 이에 영향을 미치는 요인으로 사회적 지지와 학급응집력의 영향을 알아보고자 실시하였다. 조사는 대구광역시에서 임의로 선정된 3개 학교의 516명을 대상으로 실시하였으며 설문지의 목적을 이해하고 동의한 학생들이 자기기입식으로 응답하도록 하였다. 연구결과 학급응집력에는 사회적 지지 중 친구지지와 교사지지가 유의하게 영향을 미쳤는데 친구지지와 교사지지가 높을수록 학급응집력은 유의하게 증가하였다. 중학생들의 건강관련 삶의 질 점수는 총점수 81.1점이었으며 사회적 영역이 87.1점으로 가장 높았으며 정서적 기능 점수가 73.8점으로 가장 낮았다. 학급응집력 및 사회적 지지와 건강관련 삶의 질의 관련성은 신체적 영역은 교사지지가 유의하게 영향을 미쳤으며 사회심리적 영역과 전체 영역은 학급응집력, 친구지지, 교사지지가 유의하게 영향을 미쳤다. 연구 결과 중학생에게는 본인이 속해 있는 학급에 대한 응집력을 높일 수 있도록 친구관계, 교사-학생관계를 원만하게 하여야 할 것이며, 이들 친구지지와 교사지지는 직접적으로도 삶의 질에 영향을 미치므로 사회적 지지를 받을 수 있도록 하여야 할 것이다.

Keywords

References

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