지역사회간호학회지 (Research in Community and Public Health Nursing)

  • 제31권1호
  • /
  • Pages.24-33
  • /
  • 2020
  • /
  • 1225-9594(pISSN)
  • /
  • 2288-4203(eISSN)
한국지역사회간호학회 (Korean Academy of Community Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

노인의 불안이 건강 관련 삶의 질에 미치는 영향: 자아존중감과 사회적 지지의 복수매개 효과

Effects of Anxiety on Health Related Quality of Life of the Elderly: Multiple Mediating Effects of Self-esteem and Social Support

  • 투고 : 2019.08.10
  • 심사 : 2020.02.13
  • 발행 : 2020.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to examine the mediating effect of self-esteem and social support on the relationship between anxiety and health-related quality of life (HRQoL) in the elderly. Methods: The Korea adult psycho-social anxiety survey data were collected from August to September 2015 by the Korea Institute for Health. The subjects were 1,035 elderly people who were aged 65 or older at the time of the data survey. The data were analyzed by t-test, chi-square, Pearson correlation coefficient, and parallel redundant mediated model for PROCESS macro using SPSS 23.0. Results: They scored an average of 37.93±7.58 for anxiety, 28.59±3.45 for self-esteem, 17.25±4.11 for social support, and 0.88±0.11 for HRQoL. The direct effect of anxiety on HRQoL and the indirect effect of anxiety mediated with self-esteem and social support about HRQoL were statistically significant. Conclusion: These results indicate that in order to increase the HRQoL of the elderly, it is necessary to develop an intervention program that focuses not only on reducing anxiety but also on improving self-esteem and social support.

키워드

참고문헌

  1. Clifford KM, Duncan NA, Heinrich K, Shaw J. Update on managing generalized anxiety disorder in older adults. Journal of Gerontological Nursing. 2015;41(4):10-20. https://doi.org/10.3928/00989134-20150313-03
  2. Chew-Graham CA. Anxiety and depression in older people: Diagnostic challenges. Mental Health and Older People. 2016:45-55. https://doi.org/10.1007/978-3-319-29492-6_5
  3. Kim JH, Park JY. The influence of anxiety over aging of the elderly group on successful aging and the mediation effect of social support. The Journal of the Korea Contents Association. 2015;15(9):210-222. https://doi.org/10.5392/jkca.2015.15.09.210
  4. Kim JH, Kim W. Effects of anxiety about aging on life satisfaction: A comparison of the young, the middle aged, and the elderly. Korean Journal of Gerontological Social Welfare. 2015;68(1):187-216.
  5. Steiner ARW, Petkus AJ, Nguyen H, Loebach Wetherell J. Information processing bias and pharmacotherapy outcome in older adults with generalized anxiety disorder. Journal of Anxiety Disorders. 2013;27(6):592-597. https://doi.org/10.1016/j.janxdis.2012.10.007
  6. Kim YC, Paik J. The effects of family conflict, social support and self-esteem on life satisfaction of the aged. Journal of Digital Convergence. 2016;14(7):279-287 https://doi.org/10.14400/jdc.2016.14.7.279
  7. Kuster F, Orth U, Meier LL. Rumination mediates the prospective effect of low self-esteem on depression: A five wave longitudinal study. Personality and Social Psychology Bulletin. 2012; 38(6):747-759. https://doi.org/10.1177/0146167212437250
  8. Barrett AE, Robbins C. The multiple sources of women's aging anxiety and their relationship with psychological distress. Journal of Aging and Health. 2008;20(1):32-65. https://doi.org/10.1177/0898264307309932
  9. Jung HY, Jin YS, Chang MS. The characteristics of emotion recognition in elderly with anxiety tendency. The Korean Journal of Developmental Psychology. 2015;28(3):91-113.
  10. Korean Statistical information Service. KOSIS 100 [Internet]. Daejeon: Korean Statistical information Service. 2020 [cited 2020 March 08]. Available from: http://kosis.kr/conts/nsportalStats/nsportalStats_0102Body.jsp?menuId=10&NUM=1014&searchKeyword=&freq=&cntUpdate=Y
  11. An JS, Choi HY. Trend of influencing factors on health-related quality of life in Korean elderly. Journal of Korean Public Health Nursing. 2018;32(2):275-287. https://doi.org/10.5932/JKPHN.2018.32.2.275
  12. Kim JI. Levels of health-related quality of life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. Journal of Korean Academy of Community Health Nursing. 2013;24(1):99-109. https://doi.org/10.12799/jkachn.2013.24.1.99
  13. Kim KB, Sok SH. Factors related to the quality of life of the elderly. Korean Journal of Adult Nursing. 2008;20(2):146-155.
  14. An JY, Han EY. A study on the family conflicts in the elderly supporting. Journal of Welfare for the Aged. 2013;61:267-290.
  15. Jang SH, Kim CS, Kim MR. An effect of the social support on the self-esteem and life satisfaction in elderly. Journal of East-West Nursing Research. 2008;14(2):39-46.
  16. Seo IK, Lee YS. An exploratory study on the influence of social support and community environment on elderly self-esteem: A comparative study on people who live alone and those who live with family. Korean Journal of Local Government & Administration Studies. 2014;28(2):371-399. https://doi.org/10.18398/kjlgas.2014.28.2.371
  17. Oh JH, Yi MS. Structural equation modeling on quality of life in older adults with osteoarthritis. Journal of Korean Academy of Nursing. 2014;44(1):75-85. https://doi.org/10.4040/jkan.2014.44.1.75
  18. Zung WWK. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371-379. https://doi.org/10.1016/s0033-3182(71)71479-0
  19. Rosenberg M. Society and adolescent self-image. Princeton: Princeton University Press; 1965. 339 p.
  20. EuroQoL Group. A new facility for the measurement of healthrelated quality of life. Health Policy. 1990;16(3):199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  21. Kang EJ, Shin HS, Park HJ, Jo MW, Kim NY. A valuation of health status using EQ-5D. The Korean Journal of Health Economics and Policy. 2006;12(2):19-43.
  22. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: Regression-based approach. Lee HK, translator. New York, NY: Guilford Press; 2013.
  23. Borgaonkar MR. Quality of life measurement in gastrointestInal and liver disorder. Gut. 2000;47(3):444-454. https://doi.org/10.1136/gut.47.3.444
  24. Fonda SJ, Herzog AR. Patterns and risk factors of change in somatic and mood symptoms among older adults. Annals of Epidemiology. 2001;11(6):361-368. https://doi.org/10.1016/s1047-2797(00)00219-2
  25. Jang MS, Park KS. Factors affecting life satisfaction for the aged: From the ecosystem perspective. Korea Institute for Health and Social Affairs. 2012;32(2):232-266. https://doi.org/10.15709/hswr.2012.32.2.232
  26. Chang CJ, Cho JY. Influencing of quality of life for elderly employment program participants - Social support (social activities, family/social relationship), emotional problems. The Journal of the Korea Contents Association. 2014;14(11):225-235. https://doi.org/10.5392/jkca.2014.14.11.225
  27. Park YH, Noh EM. A study on the effects of social support on the subjective happiness of the elderly people. Journal of the Korean Academy of Health and Welfare for Elderly. 2015;7(1):37-48.
  28. Rob R. The potential of older adults to enhance community quality of life. Ageing International. 2002;27(2):30-55. https://doi.org/10.1007/s12126-002-1001-5
  29. Chung OB, Yim JH, Jeong SH, Kim KE. The mediating effects of personal resources in the relationship between social resources and the successful aging of older adults. The Korea Association of Human Development. 2013;20(1):79-99.
  30. Chae HT. The strengthening plan of social support network for the aged living alone with community members as the central figure: Focused on intervention of volunteer connection [dissertation]. [Daegu]: Daegu University; 2007. 25 p.

피인용 문헌

  1. 마그마힐링 프로그램이 노인의 우울 및 자아존중감에 미치는 효과 vol.15, pp.1, 2020, https://doi.org/10.22715/jkarhn.2020.15.1.16