DOI QR코드

DOI QR Code

Effects of Hearing Handicap on Depression and Self-efficacy in the Elderly at Home

재가노인의 청력장애가 우울과 자기효능감에 미치는 영향

  • Lee, Young Mi (Department of Aging and Social Work, College of Nursing, Catholic University of Pusan) ;
  • Ha, Eun-Ho (Department of Nursing, Jungwon University)
  • 이영미 (부산가톨릭대학교 간호대학 노인복지보건학과) ;
  • 하은호 (중원대학교 의료보건대학 간호학과)
  • Received : 2018.11.01
  • Accepted : 2019.02.01
  • Published : 2019.02.28

Abstract

The purpose of this study was to identify levels of hearing handicap, depression, and self-efficacy, and to determine the effect of hearing handicap on depression and self-efficacy in home-based elderly. Data were collected from August to September 2017. Two hundred and seventy eight elderly living at home in three cities participated in this study. Data were analyzed using the independent t-test, one-way ANOVA, Scheffe's test, Pearson's correlation coefficients, and by multiple regression analysis using SPSS Ver. 20.0 for Windows. Mean levels of hearing handicap, depression, and self-efficacy were 10.91 (${\pm}19.83$), 4.75 (${\pm}3.90$), and 46.87 (${\pm}6.75$) respectively. A statistically significant positive correlation was observed between hearing handicap and depression (r=.228, p<.001), and significant negative correlations were found between hearing handicap and self-efficacy (r=-.284, p<.001) and between depression and self-efficacy (r=-.526, p<.001). Hearing handicap had a negative effect on self-efficacy (${\beta}=-.161$, p=.008) and its explanatory power was 27.2%. The study results suggest that the developments of multidisciplinary interventions and education programs are important to prevent or minimize hearing handicap in the elderly.

본 연구의 목적은 재가노인의 청력장애 정도를 살펴보고, 청력장애가 우울과 자기효능감에 미치는 영향을 확인하는 것이다. 자료수집기간은 2017년 8월 21일부터 9월 7일까지로 하였으며 연구대상자는 3개 지역에 거주하고 있는 재가노인 278명이었다. 수집된 자료는 SPSS Statistics 24 프로그램을 이용하여 t-test와 ANOVA, Sheffe test, Pearson's correlation coefficients, Multiple regression analysis 등으로 분석하였다. 본 연구결과에서 청력장애와 우울, 자기효능감 평균 점수는 각각 10.91(${\pm}19.83$), 4.75(${\pm}3.90$), 46.87(${\pm}6.75$) 등으로 나타났다. 청력장애와 우울은 양의 상관관계(r=.228, p<.001)가 있었고 자기효능감과는 음의 상관관계가 있었으며(r=-.284, p<.001), 우울과 자기효능감은 유의한 음의 상관관계(r=-.526, p<.001)가 있었다. 청력장애는 자기효능감에 부정적인 영향을 미치는(${\beta}=-.161$, p=.008) 것으로 나타났으며 설명력은 27.2%로 측정되었다. 향후 본 연구결과를 토대로 청력장애를 예방하거나 최소화할 수 있는 다학제적 중재 및 교육프로그램 개발이 중요하다.

Keywords

Table 1. Differences in hearing handicap, depression, and self-efficacy by general characteristics

SHGSCZ_2019_v20n2_571_t0001.png 이미지

Table 2. Level of hearing handicap, depression, and self-efficacy

SHGSCZ_2019_v20n2_571_t0002.png 이미지

Table 3. Correlation among hearing handicap, depression, and self efficacy

SHGSCZ_2019_v20n2_571_t0003.png 이미지

Table 4. Effects of hearing handicap on depression and self-efficacy

SHGSCZ_2019_v20n2_571_t0004.png 이미지

References

  1. S. H. Kim, S. G. Yeo, "Presbycusis", Hanyang Medical Reviews, Vol.35, pp.78-83, 2015. DOI: http://dx.doi.org/10.7599/hmr.2015.35.2.78
  2. J. S. Kim, B. S. Lee. "Hearing Status in Korean Adults according to the Fourth Korea National Health and Nutrition Examination Survey 2009", Journal of Korean Public Health Nursing, Vol.25, No.2, pp.197-208, 2011. https://doi.org/10.5932/JKPHN.2011.25.2.197
  3. M. Cherko, L. Hickson, M. Bhutta, "Auditory Deprivation and Health in the Elderly", Maturiras, Vol.88, pp. 52-57, 2016. DOI: https://doi.org/10.1016/j.maturitas.2016.03.008
  4. Y. M. Lee, "Factors Associated with Cognitive Impairment of the Elderly in Nursing Homes", Journal of the Korea Academia-Industrial Cooperation Society, Vol.13, No.9, pp.3973-3982, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.9.3973
  5. B. M. Koo, "The Effect of Vision and Hearing Limitation on the Onset of Disability among Korean Elderly with the Consideration of Social Participation", Journal of the Korean Gerontological Society, Vol.37, No. 1, pp.1-14, 2017.
  6. K. S. Kim, E. Y. Shin, S. H. Joo, "The Effects of Vision and Hearing Function on the Quality of Life in the Elderly", The Korean journal of vision science, Vol. 17, No. 4, pp. 415-429, 2015. DOI: http://dx.doi.org/10.17337/JMBI.2015.17.4.415
  7. M. Barnett, B. Hixon, N. Okwiri, C. Irungu, J.Ayugi, R. Thompson, J. B. Shinn, M. L. Bush, "Factors Involved in Access and Utilization of Adult Hearing Healthcare: A systematic Review", Laryngoscope, Vol.127, No.5, pp.1187-1194, 2017. DOI: https://doi.org/10.1002/lary.26234
  8. H. J. Kim, B. H. Kim, O. S. Kim, "The Effect of Visual and Hearing Impairment on Depression and Cognitive Function in Community-dwelling Elderly: The Korean Longitudinal Study of Aging 2008", The Journal of Korean Academic Society of Adult Nursing, Vol.23, No.6, pp. 584-594, 2011.
  9. Y. M. Lee, "The Influence of Hearing Disability on Subjective Memory Complaint and Depression in Community-Dwelling Elderly", Korean society for Wellness, Vol.11, No.4, pp. 277-287, 2016. DOI: http://dx.doi.org/10.21097/ksw.2016.11.11.4.277
  10. S. E. Lee, "Effects of Hearing Impairment on Depression in the Elderly and Mediating Effects of Family Relationships", Journal of Speech-Language & Hearing Disorders, Vol.26, No.3, pp.143-151, 2017. DOI: http://dx.doi.org/10.15724/jslhd.2017.26.3.013
  11. D. Monzani, G. M. Galeazzi, E. Genovese, A. Marrara, A. Martini, "Psychological Profile and Social Behaviour of Working Adults with Mild or Moderate Hearing Loss", ACTA Otorhinolaryngologica Italica, Vol.28, No.2, pp. 61-66, 2008.
  12. H. S. Oh. "Health Promoting Behaviors and Quality of Life of Korean Women with Arthritis", Journal of Korean Academy of Nursing, Vol.23, No.4, pp. 617-630, 1993.
  13. H. S. Kim, M. J. An, J. D. Kim, G. Kim, "Effect of life satisfaction on self-efficiency and self-esteem of middle-aged women participating in life gymnastic to prepare for the old age", Journal of Sport and Leisure Studies, Vol.32, pp.563-572. 2008. https://doi.org/10.51979/KSSLS.2008.05.32.563
  14. H. S. Kim. J. S. Hur, "A Study of Influential Factors on Health Promoting Behaviors of the Elderly: Focusing on Senior Citizens Living in Seoul", Journal of the Korean Gerontological Society, Vol.30, No.4, pp.1129-1143, 2010.
  15. G. A. Park, M. H. Oh, "Relationships between Cognitive Function and Self Efficacy, Health Behavior of the Elderly Participation to Physical Activity", Journal of Rehabilitation Research, Vol. 20, No.1, pp.189-210, 2016. DOI: http://dx.doi.org/10.16884/JRR.2016.20.1.189
  16. E. G. Jones, R. Renger, Y. Kang, "Self-efficacy for Health-related Behaviors Among Deaf Adults", Research in Nursing & Health, Vol.30, No.2, pp. 185-192. 2007. DOI: https://doi.org/10.1002/nur.20196
  17. I. M. Ventry, B. E. Weinstein, "The Hearing Handicap Inventory for the Elderly: A New Tool", Ear and Hearing, Vol.3, No.3, pp.128-134, 1982. https://doi.org/10.1097/00003446-198205000-00006
  18. S. N. Park, G. C. Han, Y. S. Cho, J. Y. Byun, J. E. Shin, H. S. Chu, B. C. Cheon, J. W. Chung, S. W. Chae, J. Y. Choi, "Standardization for a Korean Version of Hearing Handicap Inventory for the Elderly", Korean Journal of Otolaryngology-Head and Neck Surgery, Vol.54, No.12, pp.828-834, 2011. DOI: http://dx.doi.org/10.3342/kjorl-hns.2011.54.12.828
  19. J. A. Yesavage, T. L. Brink, T, L. Rose, O. Lum, V. Huang, M. Adey, V. O. Leirer, "Development and Validation of a Geriatric Depression Screening Scale: A Preliminary Report", Journal of Psychiatric Research, Vol.17, No.1, pp.37-49. 1983. DOI: https://doi.org/10.1016/0022-3956(82)90033-4
  20. B. S. Kee, "A Preliminary Study for the Standardization of Geriatric Depression Scale Short Form-Korea Version", Journal of the Korean Neuropsychiatric Association, Vol.35, No.2, pp. 298-307, 1996.
  21. M. Sherer, J. E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacob, R. W. Rogers, "The Self-efficacy Scale: Construction and Validation", Psychological Reports, Vol.51, No.2, pp.663-671, 1982. DOI: https://doi.org/10.2466/pr0.1982.51.2.663
  22. H. Y. Kim, A. L. Kim, "A Correlational Study on the Self Efficacy, Daily Living Stress, Health Related Behavior and Ego Integrity", Journal of the Korean Data Analysis Society, Vol.14, No.6, pp.3061-3073, 2012.
  23. B. A. Dullard, K. M. Cienkowski, "Exploring the Relationship between Hearing Aid Self-efficacy and Hearing Aid Management", SIG 7 Perspectives on Aural Rehabilitation and Its Instrumentation, Vol.21, pp.56-62, 2014. DOI: http://dx.doi.org/10.1044/arri21.2.56
  24. P. Dawes, R. Omalley, K. J. Cruickshanks, D. R. Moore, H. Fortnum, J. M. Edmondso, A. McCormack, K. J. Munro, "Hearing Loss and Cognition: The Role of Hearing AIDS, Social Isolation and Depression", PLOS one, Vol.10, No.3, pp.e0119616, 2015. DOI: https://doi.org/10.1371/journal.pone.0119616
  25. A. McMullan, R. J. Kelly-Campbell, K. Wise, "Improving Hearing Aid Self-efficacy and Utility through Revising a Hearing Aid User Guide: A Pilot Study", American Journal of Audiology, Vol.27, No.1, pp.45-56. 2018. DOI: https://doi.org/10.1044/2017_AJA-17-0035
  26. R. J. Kelly-Campbell, A. McMillan, "The Relationship between Hearing Aid Self-efficacy and Hearing Aid Satisfaction", American Journal of Audiology, Vol.24, No.4, pp.529-535. 2015. DOI: https://doi.org/10.1044/2015_AJA-15-0028
  27. M. Pronk, D. J. Deeg, S. E. Kramer, "Hearing Status in Older Persons: A Significant Determinant of Depression and Loneliness? Results from the Longitudinal Aging Study Amsterdam", American Journal of Audiology, Vol.22, No.2, pp.316-320. 2013. DOI: https://doi.org/10.1044/1059-0889(2013/12-0069)