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Factors Influencing the Quality of Life for the Elderly with Disabilities in the Aging Society

고령화 사회에서 장애 노인의 삶의 질에 영향을 미치는 요인

  • Received : 2017.01.09
  • Accepted : 2017.02.03
  • Published : 2017.02.28

Abstract

This study was to identify the factors influencing the quality of life for the elderly with disabilities in the aging society. For this purpose, this study tried to examine the relationship between the factors which are Social support, Decrease in depression of the elderly with disabilities and Quality of life for the elderly with disabilities, and also identify the moderating effect of living independence. This study tested the research model based on panel data of the elderly with disabilities in Korea Welfare Panel Study. Th result are as follows: First, social support(family support and peer support) positively impact on depression of the elderly with disabilities. Second, decrease in depression of the elderly with disabilities positively impact on the quality of life for the elderly with disabilities. Finally, the higher living independence of the elderly with disabilities, decrease in depression of the elderly with disabilities positively impact on life support services and treatment services whereas does not impact on leisure life significantly.

본 논문은 고령화 사회에서 장애 노인의 삶의 질에 영향을 미치는 요인을 분석하고자 하며, 이를 위해 사회적 지지(가족지지, 동료지지)와 장애 노인 우울 감소, 장애 노인의 삶의 질(여가활동, 생활지원서비스, 치료서비스)간이 관계를 살펴보고, 생활자립성의 조절효과를 확인하였다. 본 연구는 9차 한국복지패널조사 장애인조사자료를 활용하였으며, 가설을 검증하기 위하여 PLS로 경로분석을 수행하였다. 연구결과 첫째, 사회적지지(가족 지지와 동료 지지)는 장애 노인 우울 감소에 긍정적인 영향을 미쳤으며, 장애 노인의 우울 감소가 장애 노인의 삶의 질(여가생활, 생활지원서비스, 치료서비스)에 영향을 미치는 것으로 나타났다. 둘째, 장애 노인의 생활 자립성이 높을수록 장애 노인의 우울 감소는 생활지원서비스와 치료서비스에 긍정적인 영향을 미치는 반면에 여가생활에는 긍정적인 영향을 미치지 못하고 있는 것으로 나타났으며, 이는 자립성을 갖춘 장애 노인일지라도 우울하면 여가활동은 하지 않음을 확인할 수 있었다.

Keywords

References

  1. Lee, P. S., Lee, Y. M., Lim, J. Y. and Hwang, R. I., Park, E. Y., "The Relationship of Stress C Social Support and Depression in the Elderly", Journal of Korean Academy of Nursing, vol. 34, no. 3, pp. 477-484, 2004. https://doi.org/10.4040/jkan.2004.34.3.477
  2. Paik, E. R. and Roh, S. H., "The Longitudinal Study on the Factors of Life Satisfaction Among Disabled Elderly", Journal of Rehabilitation Research,, vol. 16, pp. 81-108, 2012.
  3. Barker, R.L., "The social work dictionary", 2003.
  4. Rho, B. and Mo, S. H. "The Effect of Levels and Dimensions of Social Support on Geriatric Depression", Journal of the Korean Gerontological Society, vol. 27, pp. 53-69, 2007.
  5. Um, I, S., "Study on the Effect of the Elderly's Living Stress and Social Support on Depression", Journal of Public Welfare Administration, vol. 22, no. 1, pp. 73-90, 2012.
  6. Lee, M. S. and Kim, N. Y., "Study on the Effect of Social Support on Depression of the Old", Korean Academy of Clinical Social Work, vol. 4, no. 1, pp. 161-176, 2007.
  7. Kang, S. K., "The Effects of Self-Efficacy and Social Support on the Quality of Life of the Elderly with Depression", Journal of the Korean Gerontological Society, vol. 29, pp. 629-643, 2009.
  8. Osgood, N.J. and McIntosh, J.L., "Suicide and the elderly: An annotated bibliography and review", Greenwood Publishing Group, 1986.
  9. Kim, H. S., "A Study on Epistemology of Korean Elder's Suicidal Thought", Journal of the Korean Gerontological Society, vol. 22, pp. 159-172, 2002.
  10. Kim, H. S., "Status and policy tasks of the elderly with disabilities", Health and Welfare Policy Forum, pp. 47-51, 1996.
  11. Song, I. U. and Won, S. J., "Factors Affecting Depression of Older Adults with Disability Applying Andersen Model", Journal of Rehabilitation Research,, vol. 18, pp. 23-45, 2014. https://doi.org/10.16884/JRR.2014.18.3.23
  12. Yun. E. G., "Mediation Effect of Coping Style on the Relationship between Depression and the Quality of Life in the Elderly", Korean Journal of Clinical Social Work, vol. 9, no. 1, pp. 43-61, 2012.
  13. Mecocci, P., Cherubini, A., Mariani, E., Ruggiero, C. and Senin, U., "Depression in the elderly: new concepts and therapeutic approaches", Aging clinical and experimental research, vol. 16, no. 3, pp. 176-189, 2004. https://doi.org/10.1007/BF03327382
  14. Bang, K. S., Lee, I., Kim, S. J., Song, M. K. and Park, S. E., "The Effects of Urban Forest-walking Program on Health Promotion Behavior, Physical Health, Depression, and Quality of Life : A Randomized Controlled Trial of Office-workers", Korean Society of Nursing Science, vol. 46, no. 1, pp. 140-148, 2016.
  15. Han, Y. R., Song, M. S. and Lim, J, Y,, "The Effects of a Cognitive Enhancement Group Training Program for Community-dwelling Elders," Korean Society of Nursing Science, vol. 40, no. 5, pp. 724-735, 2010.
  16. Kwon, O. G., "A Survey on the Determinants of Quality of Life among the Elderly With Handicap", Korean Journal of Gerontological Social Welfare, vol. 39, pp. 7-31, 2008.
  17. Jung, D. J., "The Effects of Self-rated Health on Depression to Disabled Elderly : The Moderating Effects of Psychosocial Resources", vol. 34, no. 2, pp. 247-275, 2014. https://doi.org/10.15709/hswr.2014.34.2.247
  18. Oh, H. K., Lee, S. K., Sok, S. R. and Kim, K. B., "The Relations among ADL, Self-efficacy, and Life Satisfaction of Elderly Institution Residents", Journal of East-West Nursing Research, vol. 13, no. 1, pp. 48-56, 2007.
  19. Park, S. Y., "A Study on Depression, ADL, IAD L, and QOL among Community-Dwelling, Low In come Elderly", Journal of Korean Public Health Nursing), vol. 23, no. 1, pp. 78-90, 2009.
  20. Roos, N.P. and Havens, B., "Predictors of successful aging: a twelve-year study of Manitoba elderly", American Journal of Public Health, vol. 81, no. 1, pp. 63-68, 1991. https://doi.org/10.2105/AJPH.81.1.63
  21. Kim, Y. H., "Physical health status depression and Activities of daily living of the low-income elderly living alone in Metropolitan Areas", Journal of Korean Academy Community Health Nursing, vol. 16, no. 2, pp. 137-147, 2005.
  22. Kim, H. K., Lee, H. J. and Park, S. M., "Factors Influencing Quality of life in Elderly Women Living Alone," Journal of the Korean Gerontological Society, vol. 30, no. 2, pp. 279-292, 2010.
  23. Hu, S. H. and Kim, J. D., "Analysis of Multi-level Effectiveness on Life Satisfaction in Old Age at KLIPS 2006", Journal of the Korean Gerontological Society, vol. 31, pp. 407-418, 2011.
  24. Lee, M. S., "Study on the Effect of Social Support on Depression and Suicide of the Old", Korean Journal of Clinical Social Work, vol. 2, no. 3, pp. 191-211, 2005.
  25. Ju, J. Y. and Kim, H. S., "The Effect of Home Visiting Physical Therapy Based on Wellness on ADL, Depressive Disorder, Quality of Life in Chronic Stroke Patients", Journal of the Korea Entertainment Industry Association, vol. 9, no. 4, pp. 423-430, 2015. https://doi.org/10.21184/jkeia.2015.12.9.4.423