• 디지털융복합연구
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• 제14권2호
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• pp.489-499
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• 2016

본 연구는 65세 이상 노인들의 연명치료 선호도에 영향을 미치는 요인들을 규명하는 것을 주목적으로 한다. 분석을 위해 한국보건사회연구원의 "2014년도 전국 노인생활실태 및 복지욕구조사"의 데이타베이스를 활용하였고 분석표본은 10,451건이었다. 응답자의 86.4 퍼센트가 무의미한 연명치료를 원하지 않는 것으로 나타났다. 다중회귀 분석결과, 여성일 경우(${\beta}=-.045$, p<.001), 연령이 낮을수록(${\beta}=-.024$, p<.05), 교육수준이 높을수록(${\beta}=.027$, p<.05), 연명치료를 원하지 않은 것으로 나타났다. 자아통합적 특성과 연명치료 선호도 간 구체적 영향관계는 삶의 만족도가 높을수록(${\beta}=.022$, p<.05), 본인의 죽음에 대해 생각해본 적이 있는 경우(${\beta}=.032$, p<.01), 연명치료 선호도가 낮은 것으로 나타났다. 반면 경로당이용을 통해 사회적 소속감을 느끼는 경우(${\beta}=-.038$, p<.01), 연명치료 선호도가 높은 것으로 나타났다. 노인의 자아통합 발달이 무의미한 연명치료를 본인에게 해야 할 상황에 처했을 때 연명치료 반대결정에 영향을 준다는 본 연구결과는 자아통합을 이룰 수 있도록 촉매역할을 하는 노인복지 프로그램의 제공을 통해 무의미한 연명치료를 줄일 수 있는 가능성을 시사한다.

• 한국산학기술학회논문지
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• 제12권4호
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• pp.1721-1731
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• 2011

본 연구는 일부 도시지역 노인들의 인구사회학적 특성, 건강관련행위 특성, 건강상태, 사회적 지지망과 사회 활동특성, 사회적지지 및 가족지지에 따른 우울수준을 파악하고, 우울에 영향을 미치는 요인을 알아보고자 시도하였다. 조사대상은 도시지역 노인 412명(남자 191명, 여자 221명)으로 하였으며, 자료 수집은 2010년 6월 1일부터 7월 31일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 실시하였다. 연구결과 조사대상노인의 우울수준은 사회적 지지 및 가족지지가 낮을수록 유의하게 높았으며(p=0.000), 우울수준은 사회적 지지 및 가족지지와 유의한 음의 상관관계를 보였다. 다중회귀분석 결과 조사대상자의 우울수준에 영향을 미치는 요인으로는 사회적지지, 눈의 부자유 유무, 일상생활에 대한 만족도, 친구 수, 교육정도, 배우자유무, 취미활동 빈도, 요실금 유무 및 가족지지가 유의한 변수로 선정되었다. 따라서 도시지역 노인들의 우울수준은 사회적지지 및 가족지지가 영향요인으로 작용하고 있을 뿐만 아니라 인구사회학적 특성, 건강관련행위 특성, 건강상태, 사회적 지지망과 사회활동특성 등 여러 변수들과도 관련성이 있었다.

• 한국노년학
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• 제29권3호
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• pp.805-822
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• 2009

본 연구는 독거노인의 정신건강 수준이 어느 정도인지를 조사하고, 사회인구학적 변인들이 정신건강 수준에 어떤 차이를 가져오는지를 살펴보며, 정신건강의 영향요인을 분석하는 것이다. 이를 위해 G시에 거주하는 65세 이상의 독거노인 131명에 대해 면접조사를 실시하고, 간이정신진단검사(SCL-90-R)를 활용하여 정신건강 수준을 측정하였다. 주요 분석결과는 다음과 같다. 첫째, 본 조사대상자의 정신건강 수준은 3.53점(5점 척도)로서 상당히 심각한 수준인 것으로 나타났으며, 이는 독거노인의 정신건강 수준이 일반노인에 비해 훨씬 열악하다는 것을 보여주는 결과이다. 정신건강의 하위영역별로 우울증이 가장 심각했으며, 신체화 증상도 매우 심각한 수준인 것으로 나타났다. 공포불안, 강박증, 불안증 등의 증상도 심각한 수준이었다. 둘째, 사회인구학적 변인이 정신건강 수준에 어떤 차이를 가져오는지를 살펴보기 위한 변량분석 결과에 의하면, 성별과 교육수준이 유의한 변수로 나타났다. 셋째, 독거노인 정신건강 수준의 영향요인을 예측하기 위한 위계적 회귀분석 결과에 의하면, 본 연구에서 설정한 독립변수 13개를 모두 투입한 최종모델에서 독거노인의 정신건강 수준에 영향을 미치는 변수는 8개였으며, 설명력은 생활만족도, ADL, IADL, 복지서비스 지원, 비공식적 지지 등 사회적 지원 변수의 순서로 높게 나타났다. 본 연구에서는 위의 결과를 토대로 하여 거시적, 미시적 차원의 함의를 제시하였다.

• 기본간호학회지
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• 제13권2호
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• pp.257-268
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• 2006

Purpose: This study was done to develop and evaluate the Integrated Stress Management Program (ISMP) for elders in rural communities. Method: ISMP consists of 6 educational programs to improve self-management behavior and therapeutic recreational activities and was developed by analyzing the published reports and through multidisciplinary cooperation. Effectiveness of the ISMP was evaluated by implementing the program with 53 rural elders living at home, one session a week of, 2 hours per session over, 6 weeks from March 14 to April. 22, 2005. Results: After participating in the program, participants' perceived levels of stress decreased(t=2.940, p<.05), and mood state (t=4.229, p<.001), life satisfaction(t=-4.911, p<.001), and perceived social support (t=-2.891, p<.05) increased significantly. Conclusion: The results of this study demonstrated that the ISMP is an effective program for relieving stress level, and increasing positive mood, life satisfaction, and social support for elders in a rural community.

• 디지털융복합연구
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• 제20권2호
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• pp.261-268
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• 2022

최근 급격한 고령화, 핵가족화 현상에 따라 외로움과 우울증으로 고통 받는 독거노인 인구도 크게 증가하고 있다. 본 논문에서는 이런 고령자에게 주거환경과 건강상태에 따라 IT의 도움으로 최적의 고령 맞춤형 서비스를 제공함으로써 삶의 만족도를 높이는 smart aging 시스템을 제안하고자 한다. 의학의 발달로 건강한 노년층이 증가함에 따라 사회 속에서 활동적으로 생활하고자 하는 고령자뿐 아니라, 시설에서의 돌봄이 필요한 고령자에 대해서도 IoT, AI(인공지능) 기술 및 메타버스 환경을 십분 활용하여 선진적인 고령자 맞춤형 지원시스템을 제공할 수 있다. 제안시스템은 병원(요양) 시설 및 재택으로 외로움으로 고통 받는 고령자에게 주거환경과 건강상태에 맞추어 현실공간과 가상공간에서 사회적 연결(social connection)을 제공하여 인간적인 만족감을 제공한다. 본 논문은 급변하는 사회 환경 변화에 AI와 메타버스 기술을 접목하고 주거환경과 건강상태에 따라 사용자 맞춤형 smart aging 시스템을 제공함으로써 미래 지향적 노인복지정책의 새로운 길을 제시할 수 있다.

• 보건의료산업학회지
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• 제9권3호
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• pp.221-232
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• 2015

Objectives : The purpose of this study was to analyze the relationships among social participation, self-rated health status, self-esteem and daily life satisfaction of the elderly with disabilities. It especially focused on the mediating effects of self-rated health status and self-esteem on the relationship between social participation and daily life satisfaction. Methods : From the fifth panel survey of employment for the disabled, data for 518 elderly over age of 65 were analyzed with SPSS 22.0, SmartPLS 2.0 M3 and the Sobel test. Results : First, social participation of the elderly with disabilities had a positive influence on the self-rated health status and self-esteem. The direct effect of self-rated health status and self-esteem on daily life satisfaction was statistically significant. However, the influence of social participation on daily life satisfaction was not statistically significant. Second, the self-rated health status and self-esteem had a mediating effect on the relationship between social participation and daily life satisfaction. Conclusions : This study shows that it is important to provide an integrated social participation support program that coincides with a variety of social programs to elderly with disabilities.

• 지역사회간호학회지
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• 제20권4호
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• pp.403-411
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• 2009

Purpose: The purpose of this study is to explore the effects of a group movement exercise program on psychophysiological variables in the institutionalized elderly. Methods: This research adopted the non-equivalent control group pretest-posttest design. Twenty elders were selected as an experimental group, whereas twenty-two elders were as a control group. The group movement program consisted of 35 minutes of dance and three days a week for eight weeks. Resting systolic blood pressure, diastolic blood pressure and heart rate were measured in a relaxed sitting position. The range of flexion and extension of joint was measured with a gonimeter. Life satisfaction and self-efficacy were measured by self-report. Data were analyzed through $x^2$-test, t-test and ANCOVA using SPSS/WIN program. Results: The results were as follows: Resting systolic blood pressure, diastolic blood pressure and resting heart rate decreased significantly by the group movement training. The range of flexion and extension of the shoulder and hip joints increased significantly. The scores of life satisfaction and self-efficacy increased remarkably by the group movement. Conclusion: The results suggest that group movement training can be an effective intervention to improve psychophysiological variables and the range of motion for the institutionalized elderly.

• 가정과삶의질연구
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• 제11권1호
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• pp.203-217
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• 1993

The purpose of this study was to investigate relations of decision-making power of the elderly to home management and life satisfaction by applying a social behavior theory and exchange theory and to find out the device which improve the elderly life satisfaction at the home management view. For these research tasks the data was collected through the questionaire and interview those respondents were 273 woman elderly living with one of their married children in Seoul. It was analyzed by various statistical methods such as Frequency Percentile ANOVA F-test t-test Pearson's Corrdlation Analysis Multiple Regression Analysis. The results of this study are as follows: 1) Decision-making power of the elderly to home management had significant differences according to all of th variables except for religion job status of the elderly and education income of the children. 2) Decision-making power of the elderly to home management had the significant differences according to the variable such as income of the elderly solidarity between the elderly and their adult children age of the elderly The most influencial factor was income of the elderly. 3) Elderly life satisfaction had significant differenced according to all of the variables except for age job status of the elderly and education income of the children inmate children 4) In the result of analyzing the elderly life satisfaction the most influencial factor was decision-making power to home management and the explanary power to home management and the explanary power of those variables for the elderly life satisfaction was 56.2%.

• 대한가정학회지
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• 제37권12호
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• pp.29-41
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• 1999

The purpose of this study is to investigate the relationships of the social demographic variables, health variables, and family environmental variables to life satisfaction of rural olders, to identify their problems and to find good directions to enhance the welfares for the rural olds who are in poor life situations. The results are as follows : 1. The male old's satisfaction were higher than the female old's one. The life satisfaction didn't show differences according to the age or religion. But, the higher educational level, the higher life satisfaction was shown. The higher the economic status, the higher life satisfaction was shown. 2. The degree of life satisfaction had meaningful differences on the number of disease and health situation. The more disease they have, the lower life satisfaction was shown. 3. The life satisfaction of the rural old was highest when they live together with their married children than living alone. When they have spouse, the life satisfaction was high. And, as the relation with their children was close, the life satisfaction was high. So, it is thought the children have great influences to the rural old. 4. In the multiple regression analysis, It was found that physical health, the relationship with their children, perceived economic status, and unemployment of their children were effective variables in the old's life satisfaction.

• 가족자원경영과 정책
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• 제4권2호
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• pp.1-15
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• 2000

The purpose of this study is to suggest the way to improve the life satisfaction of the aged in the institutional household by examing some of factors such as individual, social support and facility that influence their life satisfaction. In the view of statistical results, the level of their life satisfaction is influenced by individual, social support and facility related to factors. First, the level of the aged’s life satisfaction is high when the person has spouse who lives together, has many children, presumes oneself as in healthy and has high-satisfaction of religion. Second, the level of the aged’s life satisfaction is high when the person has good relationship with friends in institutional household and one’s children. And the person whose relative call her or him frequently and she or he is proud of one’s being in institutional household has high-satisfaction of one’s life. Third, the level of the aged’s life satisfaction is high when the person satisfies the quality of food-services and housing services. Finally, the results of in-depth interview show that the person who has financial power, a certain of hobby and one’s role has high-satisfaction of one’s life