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Subjective Health Status by degrees Conducting Activities of Daily Living

노인이 경험한 항목별 일상생활수행능력(ADLs)에 따른 주관적 건강상태

  • Received : 2019.07.24
  • Accepted : 2019.08.20
  • Published : 2019.08.28

Abstract

The study was to find out whether the more difficult each activities of daily living(ADLs) is, the more high subjective health status, or health insecurity, is among those in their 65 or older in Seoul and Gyeonggi Province. The subjects were asked up to 1 to 5 points for subjective health status and ADLs. And according to the performance level of each activities of daily living, the order trend was analyzed in four groups (very difficult, difficult, easy, and very easy) by Jonckheere-Terpstra. Order trends were also compared using a linear regression line. Depending on the degree of difficulty in "using toilet," "bathing" and "shopping," the insecurities in subjective health status showed a corresponding order differences. It has been shown that the slope of "using toilet" on a linear regression line is the largest. The more difficult it was to "use toilet," "bathing" and "shopping," the higher the score of health insecurity was.

본 연구는 서울 경기지역 만 65세 이상의 건강한 재택 노인을 대상으로 항목별 일상생활수행능력에 따른 주관적 건강상태, 즉 건강불안감의 정도를 알아보는 서술적 조사연구이다. 대상자에게 일상생활수행능력(ADLs)에 따른 1-5점까지 주관적 건강상태(건강불안감)를 설문하고, 항목별 일상생활수행능력의 정도에 따라 4개의 집단(매우 어려움, 어려움, 쉬움, 매우 쉬움)으로 나누어 Jonckheere-Terpstra검정과 선형회귀선을 활용하여 순위추세를 비교하였다. Jonckheere-Terpstra검정에서 "화장실 이용하기", "목욕하기", "물건 사러가기" 항목에 어려움을 호소할수록 주관적 건강상태의 불안감이 상응하는 순위차이를 보였고, 선형회귀선 상에서 "화장실 이용하기"의 기울기가 가장 큰 것으로 나타났다. 건강한 재택 거주 노인의 경우 "화장실 이용하기", "목욕하기", "물건 사러가기"가 어려울수록 건강불안의 증가 즉, 주관적 건강상태가 나빠지므로 이에 적절한 다각적인 사회복서비스를 개발할 필요가 있다.

Keywords

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Fig. 1. Percents of Self-rated Health

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Fig. 2. Medians and Regression Lines of ADLs

Table 1. General Characteristics

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Table 2. Medians, Jonckheere-Terpstra test and Linear Regression

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