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행복마을 융복합 프로그램이 농촌 여성노인의 우울, 삶의 의미 및 자살생각에 미치는 효과

The Effect of the Happy Village Convergence Program on the Depression, Meaning of Life and Suicidal Ideation of the Elderly Women in Rural Area

  • 오현주 (대전과학기술대학교 간호학부) ;
  • 강문희 (충남대학교 간호대학)
  • Oh, Hyun-Joo (Daejeon Institute of Science and Technology) ;
  • Gang, Moonhee (College of Nursing, Chungnam National University)
  • 투고 : 2019.07.26
  • 심사 : 2019.09.20
  • 발행 : 2019.09.28

초록

본 연구는 행복마을 융복합 프로그램이 농촌 여성노인의 우울, 삶의 의미와 자살생각에 미치는 효과를 확인하기 위한 것이다. 본 연구의 대상자는 G군의 마을회관을 이용하는 65세 이상의 여성노인 25명(실험군=12명, 대조군=13명)이다. 자료수집기간은 2019년 1월 10일에서 3월 14일까지였다. 실험군은 주 1회 60분씩 총 10회기 행복마을 융복합 프로그램에 참여하였고, 대조군은 사전조사와 사후조사 후 1회 40분씩 총 2회의 건강교육을 받았다. 수집된 자료는 서술통계, ${\chi}^2-test$, t-test를 이용하여 분석하였다. 본 연구결과, 실험군은 대조군에 비해 우울(t=-2.195, p<.05)과 삶의 의미(t=2.757, p<.05)가 통계적으로 유의하게 향상되었다. 그러므로 본 연구의 프로그램이 농촌여성의 우울과 삶의 의미를 향상시키는데 효과가 있는 것으로 나타났다. 추후 성별과 지역을 확대한 연구를 통해 프로그램의 유용성 확인을 제언하였다.

The purpose of this study was to examine the effects of the Happy Village Convergence Program on the depression, meaning of life and suicidal ideation in rural elderly women. The participants of this study were 25 elderly women aged 65 years or older in G province (12 experimental group and 13 control group). The data collected from January 10, 2019 to March 14, 2019. The experimental group participated in the 10-session program, once a week for 60 minutes. The data were analyzed using descriptive statistics, ${\chi}^2-test$, and t-test. There were significant differences in depression (t = -2.195, p <.05) and meaning of life (t = 2.757, p <.05) in the experimental group compared to the control group. Therefore, the program was effective in rural women. We propose further study to confirm the usefulness of the program by expanding the gender and area.

키워드

참고문헌

  1. Korean Statistical Information Service : http://kosis.kr/conts/nsportalStats/nsportalStats_0101Body.jsp?menuId=all
  2. Ministry of Health and Welfare ; http://meta.narastat.kr/metasvc/svc/SvcMetaDcDtaPopup.do?orgId=117&confmNo=117071&kosisYn=Y
  3. H. S. Choi, J. H. Choi, K. H. Park, K. J. Joo, H. Ga, H. J. Ko & S. R. Kim. (2007). Standardization of the Korean Version of Patient Health Questionnaire-9 as a Screening Instrument for Major Depressive Disorder. J Korean Acad Fam Med, 28(2), 114-119.
  4. E. K. Kim. (2015). Comparison of the Factors Related to Depression of the Female Elderly Living Alone by Region. Korean Journal of Human Eclolgy, 24(6), 811-827. https://doi.org/10.5934/kjhe.2015.24.6.811
  5. E. Yaka, P. Keskinoglu, R. Ucku, G. G. Yener & Z. Tunca. (2014). Prevalence and risk factors of depression among community dwelling elderly. Archives of Gerontology and Geriatrics, 59(1), 150-154. DOI: https://doi.org/10.1016/j.archger.2014.03.014
  6. Y. Conwell, P. R. Duberstein & E. D. Caine. (2002). Risk factors for suicide in later life. Biological psychiatry, 52(3), 193-204. https://doi.org/10.1016/S0006-3223(02)01347-1
  7. Y. Conwell & C. Thompson. (2008). Suicidal behavior in elders. Psychiatr Clin North Am, 31(2), 333-356. doi: 10.1016/j.psc.2008.01.004
  8. Statistics Korea ; Population Rrojections for Korea http://meta.narastat.kr/metasvc/svc/SvcMetaDcDtaPopup.do?orgId=101&confmNo=101033&kosisYn=Y
  9. M. H. Cho, D. S. Park & Y. W. Choi. (2013). Health Status of theIssues., Rural Elderly and Policy,1-154. http://www.krei.re.kr/krei/researchReportView.do?key=67&pageType=010101&biblioId=387880
  10. M. S. Chae & J. H. Lee. (2018). The Effects of Social Exclusion on Depression of the Rural Elderly : With a Focus on Comparing Single and Couple Households. The Korean Society of Community Living Science, 29(4), 553-569. https://doi.org/10.7856/kjcls.2018.29.4.553
  11. I. K. Seo & Y. S. Lee. (2016). Mediated Effects of Depression on the Relationship between Social Resources of the Elderly Living Alone and Their Suicidal Ideation - With a focus on the comparison between the elderly living alone in rural and urban areas - Korean Journal of Gerontological Social Welfare, 71(2), 219-247.
  12. J. S. Yoo, H. S. Kim & H. J. Yon. (2014). The Effect of Depression and Suicide Prevention Program for Vulnerable Community-Dwelling Elderly Women. Journal of the Korea Academia-Industrial cooperation Society, 15(5), 2882-2892. https://doi.org/10.5762/KAIS.2014.15.5.2882
  13. Korea Suicide Prevention Center : http://spckorea-stat.or.kr/korea02.do
  14. S. W. Kim, J. M. Kim, I. S. Shin & J. S. Yoon. (2012). Suicide and crisis intervention Journal of the Korean Medical Association, 55(4), 341-348. https://doi.org/10.5124/jkma.2012.55.4.341
  15. K. M. Kim, S. A. Ryu & I. C. Choi. (2011). The effect of meaning in Life on happiness and health in Late Life. Korean Journal of Psychology: General, 30(2), 503-523.
  16. M. J. Heisel & G. L. Flett. (2016). Does Recognition of Meaning in Life Confer Resiliency to Suicide Ideation Among Community-Residing Older Adults? A Longitudinal Investigation. Am J Geriatr Psychiatry, 24(6), 455-466. doi: 10.1016/j.jagp.2015.08.007
  17. M. J. Heisel & G. L. Flett. (2004). Purpose in life, satisfaction with life, and suicide ideation in a clinical sample. Journal of Psychopathology and Behavioral Assessment, 26(2), 127-135. https://doi.org/10.1023/B:JOBA.0000013660.22413.e0
  18. E. M. Kleiman & J. K. Beaver. (2013). A meaningful life is worth living: Meaning in life as a suicide resiliency factor. Psychiatry research, 210(3), 934-939. https://doi.org/10.1016/j.psychres.2013.08.002
  19. D. R. Won, K. H. Kim & S. J. Kwon. (2005). Validation of the Korean version of meaning in life questionnaire. The Korean Journal of Health Psychology, 10(2), 211-225. https://doi.org/10.1177/1359105305049769
  20. L. L. Harlow, M. D. Newcomb & P. M. Bentler. (1986). Depression, self-derogation, substance use, and suicide ideation: lack of purpose in life as a mediational factor. J Clin Psychol, 42(1), 5-21. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  21. M. C. Wang, O. Richard Lightsey, T. Pietruszka, A. C. Uruk & A. G. Wells. (2007). Purpose in life and reasons for living as mediators of the relationship between stress, coping, and suicidal behavior. The Journal of Positive Psychology, 2(3), 195-204. DOI: 10.1080/17439760701228920
  22. H. J. Oh, M. H. Gang, M. S. Kim & K. O. Oh. (2017). The Effects of the Convergence Program using Traditional play on Depression, Sense of Belonging and Suicidal Ideation in Rural Women Elderly. Journal of Digital Convergence, 15(12), 413-421. https://doi.org/10.14400/JDC.2017.15.12.413
  23. K. Kroenke, R. L. Spitzer & J. B. W. Williams. (2001). The PHQ-9 Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine, 16(9), 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x
  24. M. F. Steger, P. Frazier, S. Oishi & M. Kaler. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of counseling psychology, 53(1), 80. https://doi.org/10.1037/0022-0167.53.1.80
  25. S. J. Lee & J. S. Kim. (2016). Development of a Korean Geriatric Suicidal Risk Scale (KGSRS). Journal of Korean Academy of Nursing, 46(1), 59-68. https://doi.org/10.4040/jkan.2016.46.1.59
  26. M. Park & C. Chesla. (2007). Revisiting Confucianism as a Conceptual Framework for Asian Family Study. Journal of Family Nursing, 13(3), 293-311. DOI: 10.1177/1074840707304400
  27. K. A. Kang, S. J. Kim, M. K. Song & M. J. Kim. (2013). Effects of Logotherapy on Life Respect, Meaning of Life, and Depression of Older School-age Children. Journal of Korean Academy of Nursing, 43(1), 91-101. https://doi.org/10.4040/jkan.2013.43.1.91
  28. J. K Kim & C. N. Son. (2007). The Effects of Logotherapy on Depression, Purpose in Life, and Delinquency Impulsivity of Juvenile Delinquents. Korean Journal of Clinical Psychology, 26(1), 1-19. https://doi.org/10.15842/kjcp.2007.26.1.001
  29. C. H. Kim. (2018). The effects of the Group Logotherapy for Community-dwelling Elderly with Depressive Symptoms. doctoral thesis. Seoul National University, Seoul. Retrieved from http://www.riss.kr/link?id=T14817834
  30. S. M. S. Elias, C. Neville & T. Scott. (2015). The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing, 36(5), 372-380. DOI: http://dx.doi.org/10.1016/j.gerinurse.2015.05.004
  31. C. S. Kim, K. S. Yoo & S. H. Hong. (2014). The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis. Journal of Korean Academy of Community Health Nursing, 25(3), 207-216. https://doi.org/10.12799/jkachn.2014.25.3.207
  32. M. S. Kim & M. H. Gang. (2017). The Effects of Foot-Reflexology Massage on Sleep, Depression, & Constipation in Community-Dwelling Elders. Journal of Digital Convergence, 15(9), 249-259. https://doi.org/10.14400/JDC.2017.15.9.249
  33. C. H. Lee. (2006). Effects of Logotherapy with Exercise on Meaning of Life, Ego Integrity and IADL in the Elderly. J Korean Acad Nurs, 36(5), 701-709. https://doi.org/10.4040/jkan.2006.36.5.701
  34. S. Hupkens, A. Machielse, M. Goumans & P. Derkx. (2018). Meaning in life of older persons: An integrative literature review. Nurs Ethics, 25(8), 973-991. DOI: 10.1177/0969733016680122
  35. Y. J. Park & G. J. Kim. (2017). The Effects of Meaning of Life and Depression on Health- Promoting Behaviors of the Elderly - Focusing on the Elderly Who Participated in Community Health Programs. Journal of Digital Convergence, 15(5), 411-417. https://doi.org/10.14400/JDC.2017.15.2.411
  36. C. Y. Koo, J. S. Kim & J. O. Yu. (2014). A Study on Factors Influencing Elders' Suicidal Ideation: Focused on Comparison of Gender Differences. J Korean Acad Community Health Nurs, 25(1), 24-32. https://doi.org/10.12799/jkachn.2014.25.1.24
  37. B. R. Lee & J. H. Lee. (2015). The Effects of Family Ties on Suicidal Ideation of the Rural Elderly in Korea - Focused on the Meditating Effects of Community Consciousness - Korean Journal of Human Ecology, 24(6), 795-809. https://doi.org/10.5934/kjhe.2015.24.6.795