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

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The Effect of Social Support of the Elderly Using Elderly Welfare Center on Suicidal Ideation through the Mediating Effect of Avoidance Coping Style

복지관 이용 노인의 사회적 지지가 회피적 대처방식의 매개효과를 통하여 자살생각에 미치는 영향

  • Chang, Koung-Oh (Department of Nursing Science, Y'sU(Youngsan) Universitty)
  • 장경오 (와이즈유(영산대학교) 간호학과)
  • Received : 2021.02.09
  • Accepted : 2021.06.04
  • Published : 2021.06.30
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Abstract

The purpose of this study was to investigate the effect of social support on suicidal ideation among the elderly at welfare centers through the mediating effect of avoidance coping style. This is a descriptive research survey of 392 elderly people at four elderly welfare centers located in G city. Data were collected from October 21 to November 8, 2019, and analyzed using the IBM SPSS/win 26.0 program by t-test, ANOVA, and the Pearson's correlation coefficient. The mediating effect was analyzed by multiple regression analysis according to Baron and Kenny's 3-step analysis procedure. Social support of the subjects was found to be high with an average score of 5.73±1.23, avoidance coping style with 12.53±3.47 points, and suicidal ideations with 6.21±2.06 points. In the correlation between the variables, suicidal ideations were negatively correlated with social support (r=-.146, p=.004) and avoidance coping style (r=.315, p<.001), and these correlations were statistically significant. There was a positive correlation. The avoidance coping style of the elderly using the welfare centers was found to partially mediate the relationship between social support and suicidal ideation (Z=-.270, p<.001). Therefore, to prevent negative emotions such as suicidal ideations in the elderly, various policies and support programs at the local and government level should be continuously implemented.

본 연구는 복지관 이용 노인의 사회적지지가 회피적 대처방식의 매개효과를 통하여 자살생각에 미치는 영향을 파악하기 위한 목적으로 시도되었다. 연구방법은 G시에 소재한 4곳의 노인복지관을 이용하는 노인 392명을 대상으로 한 서술적 조사연구로, 2019년 10월 21일부터 11월 8일까지 자료를 수집하였다. 연구 통계방법은 IBM SPSS/win 26.0 프로그램으로 t-test, ANOVA, Scheff's test, 피어슨 상관관계를 분석하였고, 매개효과는 Baron과 Kenny의 3단계분석 절차에 따른 다중회귀분석으로 분석하였다. 그 결과, 대상자의 사회적지지의 평균점수는 5.73±1.23점으로 높은 것으로 나타났으며, 회피적 대처방식은 12.53±3.47점, 자살생각은 6.21±2.06점으로 회피적 대처방식과 자살생각의 점수 모두 매우 낮은 것으로 나타났다. 각 변수들 간의 상관관계에서 자살생각은 사회적지지(r=-.151, p=.004)와 음의 상관관계 있었으며, 회피적 대처방식과(r=.315, p<.001)는 통계적으로 유의한 양의 상관관계가 있는 것으로 나타났다. 노인복지관 이용 노인의 회피적 대처방식은 사회적지지와 자살생각의 관계를 부분매개하는 것으로 나타났다(Z=-2.97, p<.001). 따라서 지역사회 노인들의 자살생각과 같은 부정적인 정서를 사전에 예방하고 방지하기 위해 지역 및 정부차원의 다양한 정책과 지원이 지속적으로 이루어져야 할 것이다.

Keywords

Acknowledgement

본 논문은 와이즈유(영산대학교) 간호과학연구소 지원에 의해 이루어진 것임.

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