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노인의 우울과 건강증진행위와의 관계에서 대인관계와 사회적 지지의 조절효과

Moderating Effects of Interpersonal Relation and Social Network on the Relationship between Depression and Health Behavior in Elderly

  • 투고 : 2017.07.31
  • 심사 : 2017.09.20
  • 발행 : 2017.09.28

초록

본 연구는 지역사회 노인의 우울과 건강증진행위와의 관계에서 대인관계와 사회적 지지의 조절효과를 파악하기 위하여 시도되었다. 자료수집기간은 2016년 10월 12일부터 12월 20일까지이며 D시에 소재한 노인복지관 두 곳과 문화센터 1곳에서 65세 이상의 노인 286명을 임의표집하였다. 수집된 자료는 SPSS Statistics 20.0의 t-test, ANOVA, multiple regression을 이용하여 분석하였다. 연구결과, 대상자의 우울은 20.47점, 대인관계는 21.27점, 사회적 지지는 20.92점, 건강증진행위는 111.69점이었다. 우울은 대인관계(r=-.283, p<.000), 사회적 관계망(r=-.391, p<.000), 건강증진행위와 (r=-.611, p<.000) 유의한 음의 상관관계를 보였으며, 대인관계와 사회적 관계망(r= .353, p<.000) 및 건강증진행위는(r=.372, p<.000) 유의한 양의 상관관계를 보였다. 우울과 건강증진행위와의 관계에서 대인관계는 조절효과가 없었으나(${\beta}=.380$, p=.135) 사회적 지지는 조절효과가 있어(${\beta}=.448$, p=.011) 지역사회 노인의 우울과 건강증진행위와의 관계에서 완충작용을 하는 것으로 나타났다. 따라서, 본 연구의 결과를 근거로 지역사회 노인들의 건강증진행위를 유도하고 지속하도록 하는 데 있어 사회적 지지를 활용한 프로그램의 개발과 활용을 제안하는 바이다.

This study was conducted to identify moderating effects of interpersonal relation and social support on the relationship between depression and health promoting behaviors in the elderly. The participants were 286 elderly using two elderly welfare centers and one cultural center in D city. Data were collected from October 12th to 20th December, 2016, and were analyzed by t-test, ANOVA, multiple regression using SPSS 20.0. The result were as follows; The result were as follows; 1) Mean score of variables was Depression: 20.47, interpersonal relationship: 21.27 points, social support: 20.92 points, and health promotion behaviors: 111.69. 2) Depression had negative relationship with interpersonal relationship(r=-.283, p<.000), social network (r=-.391, p<.000), health promotion behaviors(r=-.611, p<.000), and interpersonal relationship had positive relationship with social support(r=.353, p<.000) and health promotion behaviors(r=.372, p<.000) significantly. 3) Social support had a moderating effect in the relationship between depression and health promoting behaviors(${\beta}=.448$, p=.011), while interpersonal relationship did not show moderation effect(${\beta}=.380$, p=.135). Based on these results, health program for elderly including social support is recommended to promote health behavior of the elderly in the community.

키워드

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