Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

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A Study of Psychological Factors on the Quality of Life in the Elderly with Chronic Pain

만성통증 노인의 삶의 질에 대한 심리적 영향요인에 관한 연구

  • Lee, Suin (Depart of Nursing, Graduate School, Keimyung University) ;
  • Lee, Eun-ju (Depart of Nursing, Keimyung University)
  • 이수인 (계명대학교 간호대학 대학원) ;
  • 이은주 (계명대학교 간호대학)
  • Received : 2019.08.21
  • Accepted : 2019.10.04
  • Published : 2019.10.31
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Abstract

This is a descriptive research study undertaken to confirm the relationship between depression, fear-avoidance beliefs, catastrophizing, and the quality of life in the elderly with chronic pain, and how psychological factors affect their quality of life. The subjects were 147 seniors aged 65 years or older, who visited a neuropathy clinic in A city from March 4, 2019 to March 18, 2019. Statistical analysis was achieved by applying t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analyses using the SPSS/WIN 22.0 software. Considering the demographic characteristics of the elderly, quality of life revealed significant differences with respect to age (F=3.464, p<0.001), the presence of the spouse (F=3.464, p<0.001), health condition (t=4.545, p<0.001), and pain degree (F=14.76, p<0.001). Further analysis revealed that factors affecting quality of life in the elderly with chronic pain are depression (${\beta}=-0.25$, p<0.001), pain degree (${\beta}=0.25$, p<0.001), catastrophizing (${\beta}=-0.28,$p<0.001) and health condition $({\beta}=-0.19$, p<0.001), with a total explanation power of 49%. Hence, researches on the negative psychological factors, such as depression and catastrophizing, are required to improve the quality of life for the elderly. In addition, the development of a systematic nursing arbitration program is necessary to positively recognize active pain control and health conditions.

본 연구는 만성통증 노인의 우울, 두려움-회피신념, 파국적사고와 삶의 질의 관계를 확인하고 우울, 두려움-회피신념, 파국적사고와 같은 심리적 요인이 만성통증 노인의 삶의 질에 어떠한 영향을 미치는지 확인하기 위한 서술적 조사연구이다. 대상자는 2019년 3월 4일부터 2019년 3월 18일까지 A시 소재의 일개 신경과통증의학과 의원을 방문한 65세 이상 만성통증 노인 147명을 대상으로 하였다. 통계처리는 SPSS/WIN 22.0 프로그램을 이용하여 t-test와 ANOVA, Pearson's correlation coefficients, 다중 회귀분석을 사용하였다. 만성통증 노인의 일반적 특성에 따른 삶의 질 차이에서 연령(F=3.464, p<.001), 배우자(t=4.545, p<.001), 건강상태(F=31.04, p<.001), 통증정도(F=14.76, p<.001)에서 유의한 차이가 나타났다. 만성통증 노인의 삶에 질 예측요인을 분석한 결과 우울(${\beta}=-.25$, p<.001) 통증정도(${\beta}=.25$, p<.001), 파국적사고(${\beta}=-.28$, p<.001), 건강상태(${\beta}=-.19$, p<.001)가 영향요인으로 나타났고 전체설명력은 49 %이다. 따라서 만성통증 노인의 삶의 질 향상을 위해서 우울, 파국적사고와 같은 부정적인 심리적 영향 요인에 대한 연구가 더욱 필요할 것으로 판단된다. 또한, 적극적인 통증조절 및 건강상태를 긍정적으로 인식할 수 있도록 체계화된 간호중재 프로그램 개발이 필요할 것으로 사료된다.

Keywords

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