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The Effect of the Elderly's Ability to Perform Daily Activities on Life Satisfaction: Focusing on Mediating Effect of Depression

노인의 일상생활 동작수행이 삶의 만족도에 미치는 영향: 우울감의 매개효과 중심

  • Received : 2022.09.16
  • Accepted : 2022.10.20
  • Published : 2022.10.28

Abstract

The purpose of this study is to examine the mediating effect of depression in the relationship between the performance of daily activities in the elderly and their life satisfaction. The subjects of the study were 10,097 people from the Survey on the Elderly (2020), and the SPSS 25.0 program was used for data analysis. The main research results that analyzed the elderly's daily life movement performance by dividing it into daily life discomfort and movement performance difficulty are as follows. First, it was confirmed that the effects of discomfort and difficulty in performing daily activities of the elderly on life satisfaction were significant. Second, the effects of discomfort in daily life and difficulty in motion performance in the elderly on depression were found to be at a statistically significant level. Third, the effect of depression on life satisfaction was found to be statistically significant. Fourth, the partial mediating effect of depression was examined in the relationship between the daily life discomfort and difficulty in motion performance of the elderly on life satisfaction. These results clarified that daily life discomfort, difficulty in performing movements, and depression should be reduced in order to improve life satisfaction of the elderly. Through this, a discussion was presented to increase the life satisfaction of the elderly.

본 연구의 목적은 노인의 일상생활 동작수행이 삶의 만족도에 미치는 영향 관계에서 우울의 매개효과를 검증하는 것이다. 연구대상은 노인실태조사(2020) 자료의 10,097명이며, 자료분석은 SPSS 25.0 프로그램을 이용하였다. 노인의 일상생활 동작수행을 일상생활 불편과 동작수행 어려움으로 구분하여 분석한 주요 연구결과는 다음과 같다. 첫째, 노인의 일상생활 동작수행 불편과 동작수행 어려움이 삶의 만족도에 미치는 영향은 유의미한 것을 확인하였다. 둘째, 노인의 일상생활 불편과 동작수행 어려움이 우울에 미치는 영향은 통계적 유의수준으로 나타났다. 셋째, 우울이 삶의 만족도에 미치는 영향은 통계적으로 유의미하게 파악하였다. 넷째, 노인의 일상생활 불편과 동작수행 어려움이 삶의 만족도에 미치는 영향 관계에서 우울의 부분매개효과를 검증하였다. 이러한 결과는 노인의 삶의 만족도 향상을 위해서 일상생활 불편과 동작수행 어려움, 우울 감소시켜야 하는 것을 규명하였다. 이를 통해 노인의 삶의 만족도를 높이기 위한 논의를 제시하였다.

Keywords

References

  1. Korean Statistical Information Service. (2021). 2021 Senior Statistics. http://kostat.go.kr/portal/korea/index.action
  2. Korea Disease Control and Prevention Agency. (2021). Korea National Health & Nutrition Examination Survey 2019. https://kdca.go.kr/index.es?sid=a2
  3. J. J. Jeong, H. Y. Choi, K. Y. Lee, T. J. Park, J. S. Kim. (2009). Factors Associated with ADL and IADL from the Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005. Korean Journal of Family Medicine, 30(8), 598-609. UCI : G704-000343. 2009. 30. 8. 005 8
  4. Gilligan, T. D., & Huebner, S. (2007). Initial Development and Validation of The Multidimensional StudentsLife Satisfaction Scale-Adolescent Version. Applied Research in Quality of Life, 2(1), 1-16. https://doi.org/10.1007/s11482-007-9026-2
  5. Schuessler. K. F.(1985). Quality of life research and socialogy. Annual Review of Sociology, 11, 129-149. https://doi.org/10.1146/annurev.so.11.080185.001021
  6. Haller, M., & Hadler, M. (2006). How Social Relations and Structures Can Produce Happiness and Unhappiness: An International Comparative Analysis. Social Indicators Research, 75, 169-216. https://doi.org/10.1007/s11205-004-6297-y
  7. Frey, B. S., & Stutzer, A. (2000). Happiness, Economy and institutions. The Economic Journal, 110(466), 918-938. https://doi.org/10.1111/1468-0297.00570
  8. S. S. Park. (2018). A Study on the Determinants on the Aged's Life Satisfaction : Using Decision Tree Model. Journal of Institute for Social Sciences, 29(3), 39-57. DOI : 10.16881/jss.2018.07.29.3.39.
  9. S. K. Bae, T. Y. Um, E. J. Lee. (2012). A Study of the Effect of Instrumental Activities of Daily Living and the Mediating Effect of Depression on the Quality of Life of Lone Seniors. Health and Social Welfare Review, 32(4), 5-30. http://dx.doi.org/10.15709/ hswr.2012.32.4.5
  10. UN Sustainable Development Solutions Network; SDSN. (2022). 2021 World Happiness Report. https://www.unsdsn.org/
  11. B. Ch, Jeong, Ch. H. Nam, S. K. Ch, D. M. Shin, G. Y. Kim. (2005). Factors Influencing Older People's Quality of Life. Korean public health research, 31(2), 124-137. UCI : I410-ECN-0102-2009-510-001331210 10-ECN-0102-2009-510-001331210
  12. G. Y. Jang, J. M. Kang. (2005). The Study of Activities of Daily Living Performance and Quality of Life for Elderly Residents in the Daejeon City. Korean Journal of Occupational Therapy, 13(1), 45-56. http://www.kaot.org
  13. K. J. Min, J. S. Hwang. (2007). A Study on the Effect of the Daily Activities on the Quality of Life for the Aged. Korean Society of Gerontological Social Welfare, 36, 221-246.
  14. S. Y. Park. (2009). A Study on Depression, ADL, IADL, and QOL among Community-Dwelling, Low Income Elderly. Journal of Korean Public Health Nursing, 23(1), 78-90. https://doi.org/10.5932/JKPHN.2009.23.1.078
  15. H. K. Kim, H. J. Lee, S. M. Park. (2010). Factors Influencing Quality of life in Elderly Women Living Alone. Journal of the Korea Gerontological Society, 30(2), 279-292. http://www.tkgs.or.kr
  16. O. M. Baik. (2011). Factors associated with functional health outcomes in community-dwelling older adults - Applying Andersen's revised model. Journal of community welfare, 1-27.
  17. S. H. Park, S. R. Suh, H. S. Kim. (2015). Factors Affecting Activities of Daily Living, Depression and Life Satisfaction among Aged Women. Journal of East-West Nursing Research, 21(2), 119-125. DOI : 10.14370/jewnr. 2015. 21.2.119
  18. J. M. Pyo, J. Cho, S. H. Kim. The Effect of Social Participation Activities and Ability to Perform Daily Life in Old Age on Happiness Through Self-esteem. The Journal of Humanities and Social science(HSS21), 12(3), 673-685.
  19. J. S. Bae. (2022). Mediating Effect of Social Support on the Relationship between Activity of Daily Living and Quality of Life in the Elderly People. Journal of the Korea Academia-Industrial cooperation Society, 103-106.
  20. D. Y. Bae, E. B. Park. (2022). Activities of Daily Living(ADL), Instrumental Activities of Daily Living(IADL), Depressive Symptoms, and Life Satisfaction Among Middle-Aged People Living in Single-Person Households: An Application of Parallel Process Latent Growth Model. Association of Families and Better Life, 40(1), 11-25. DOI : 10.7466/JFBL.2022.40.1.11
  21. E. Rubio. E, Lazaro. A, Sanchez-Sanchez. A. (2009). Social participation and independence in activities of daily living: A cross sectional study. BMC Geriatrics, 9(26), 1-11. DOI: https://doi.org/10.1186/1471-2318-9-26
  22. M. H. Hwng, E. J. Kim. (2008). The Relationship between Depression, Cognitive Function, and Health-Related Quality of Life of the Elderly : Focusing on the Mediating Effect of Suicide Ideation. Korean Society of Gerontological Social Welfare, 41, 385-404.
  23. E. H. Kim, J. W. Lee. (2009). A Study on Activity of Daily Living, Perceived Health Status, Depression of Elderly to Types of Residency (in Home and in Institution). Journal of the Korean Data Analysis Society, 11(1), 183-197. UCI : G704-000930.2009.11.1.036 G704-000930.2009.11.1.036
  24. Mecocci, P., Cherubini, A., Mariani, E., Ruggiero, C., Senin. U. (2004). Depression in the elderly: new concepts and therapeutic approaches. Aging Clinical and Experimental Research, 16(3), 176-189. https://doi.org/10.1007/BF03327382
  25. E, S. Shin, Y. C, Cho. (2012). Relationship Between Depressive Symptoms and Physical Function(ADL, IADL) Among the Rural Elderlies. Journal of the Korea Academia-Industrial Cooperation Society, 13(1), 201-210. DOI : 10.5762/KAIS.2012.13.1.201
  26. K. H. Kim. (2018). The Impact of ADL Disability through Social Networks on Depression in Old Age. Korean Society of Gerontological Social Welfare, 73(2), 49-77. DOI: 10.21194/kjgsw.73.2.2018 06.49
  27. S. S. N. Ju, H. J. Jeon, B. I. Choi. (2017). The Moderating Effect of Community Home Elderly Welfare Facilities on the Effects of the Elderly's Daily Living Performance and Instrumental Daily Living Performance on Depression. Korean Society of Educational Gerontology, 2017(3), 1-27.
  28. S. B. Lee, N. W. Hur. (2021). A Study on the Determinants of the Elderly's ADL/IADL: Focused on the Comparison of Urban and Rural Areas. Journal of the Korea Academia-Industrial, 22(4), 419-429. DOI: 10.5762/KAIS.2021.22.4.419
  29. Korean Statistical Information Service. (2022). Elderly Survey 2020. https://kosis.kr/search/search.do?query
  30. The WHO QOL Group. (1988). Development of the world health organization WHOQOL-BREF quality of life assessment. Psychol Med, 28, 551-558. https://doi.org/10.1017/S0033291798006667
  31. Y. A. Lim, Y. C. Cho. (2017). Covariance structure analysis of the influence of social support, physical and mental health status on quality of life among the elderly at care facilities. Journal of the Korea Academia-Industrial Cooperation Society, 18(8), 210-220. http://doi.org/10.5762/KAIS.2017.18.8.210
  32. S. N. Kim, S. B. Lee. (2013). Spiritual well-being social support, life satisfaction and depression in the community dwelling elderly. Journal of EastWest nursing Research, 19(2), 186-194.
  33. N. Ch. Kim, S. Yang, (2001). Physical Health Status and Depression of a Community-Dwelling Elderly Group. Journal of Korean Academy of Nursing, 31(6), 1012-1020. DOI : 10.4040/jkan.2001.31.6.1012
  34. K. J. Lee, H. S. Park. (2006). A Study on the Perceived Health Status, Depression, and Activities of Daily Living for the Elderly in Urban Areas. Korean Journal Women Health Nursing, 12(3), 221-230. DOI : 10.4069/kjwhn.2006.12.3.221
  35. J. H. Yoo, S. K. Chu, K. O. Ban, (2009). The relationship between the psychosocial characteristic family function, and activities of daily living in the elderly females. Journal of Korean Society of Public Health Nursing, 23(1), 40-49.
  36. Baron, R. M. & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research; conceptual, strategic and statitical considerations, Journal of Personality and Social Psych, 15(6), 1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  37. H. S. Lee, H. S. Nam. (2010). The Effect of Daily Living Activities, Depression, Self-respect, and Social Activity Participation of the Rural Elderly on Their Life Satisfaction -Case Study on the Yeoju County. Journal of Agricultural Extension & Community Development, 17(4), 957-984.