• 한국보건간호학회지
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• 제30권1호
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• pp.5-16
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• 2016

Purpose: This correlational study was conducted to determine the relationship between health status and ego integrity of permanent elderly returnees from Sakhalin. Methods: We surveyed 94 permanent elderly returnees from Sakhalin, living in Gimpo, Korea. Data were analyzed using the SPSS/WIN 18.0 program for descriptive statistics, t-test, $Scheff{\acute{e}}$ test, ANOVA, and Pearson correlation coefficient. Results: The mean score of total health status was 3.7 on a 5 point Likert scale. The mean score of ego integrity was 3.6 on a 5 point Likert scale. The health status showed significant correlation with the ego integrity of the permanent elderly returnees from Sakhalin. Conclusion: In the present study, although the health status of the permanent elderly returnees from Sakhalin appeared to be good, the lack of awareness about health care and the need for ego integrity, is in itself the actual suffering. Thus by providing health education along with medical information can enhance the health management. And, this practice can be self regulating for the society and can provide institutional support for the permanent elderly returnees from Sakhalin, which they require.

• 대한간호학회지
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• 제37권3호
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• pp.334-342
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• 2007

Purpose: Ego-integrity in older adults is the central concept related to quality of life in later life. Therefore, for effective interventions to enhance the quality of later life, a scale to measure ego-integrity in older adults is necessary. This study was carried out to develop a scale to measure ego-integrity in older adults. Methods: This study utilized cronbach's alpha in analyzing the reliability of the collected data and expert group, and factor analysis and item analysis to analyze validity. Results: Seventeen items were selected from a total of 21 items. Cronbach's alpha coefficient for internal consistency was.88 for the 17 items of ego-integrity in the older adults scale. Three factors evolved by factor analysis, which explained 50.71% of the total variance. Conclusions: The scale for measuring ego-integrity in Korean older adults in this study was evaluated as a tool with a high degree of reliability and validity.

• 대한간호학회지
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• 제36권5호
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• pp.701-709
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• 2006

Purpose: The purpose of this study was to examine the effects of 'Logotherapy with Exercise' on the meaning of life, ego integrity and IADL's in the Elderly. Method: This quasi-experimental study was designed for a nonequivalent control group repeated measurement study. This study was done from Oct. 13, 2004 to Dec. 18. 2004. The subjects were between the ages of 65 to 75, who were literate in Korean and able to communicate and participate in physical exercise without any discomfort. The experimental group was 25 subjects and the control group was 26. The 5-week 'Logotherapy with Exercise' program was given to the experimental group. Data was analyzed by X$^2$, t-test, ANCOVA, ANOVA, and post-hoc comparison by Bonferroni correction with the SPSS/WIN 12.0. Results: The experimental group had a greater difference in meaning of life, ego integrity and IADL's than the control group. The experimental group had differences in changes in meaning of life, ego integrity and IADL's during time period. Conclusion: 'Logotherapy with Exercise' can be recommended as an effective nursing intervention for the elderly.

• Human Ecology Research
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• 제55권2호
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• pp.181-192
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• 2017

This study investigated the relations between gratitude disposition and the ego-integrity of elderly men and women, focused on generativity and relatedness toward spouse, children, and friends as well as examined gender differences for each path. The subjects were 341 Korean elderly men and women over the age of 60 living in the Busan, Daegu, and Gyeongsang areas. Collected data were analyzed by PASW ver. 18.0 and AMOS 20.0 programs; in addition, frequency, Cronbach ${\alpha}$, Pearson's correlation coefficients, t-test and structural equation modeling were also used for data analysis. The results were as follows. First, the Korean elderly's gratitude disposition had a positive influence on ego-integrity and generativity as well as on relatedness toward spouse, children, and friends. In addition, the relatedness toward spouse, children, and friends of Korean elderly had direct influences on generativity and indirect influences on ego-integrity by mediating generativity. Second, it showed that there was a gender difference in the structural model that explained the relations among the variables. Korean elderly men's relatedness toward spouse, children, and friends had direct effects on generativity. However, in case of Korean elderly women, only relatedness toward children and friends had effects on generativity. The results were discussed in terms of elderly education.

• 한국보건간호학회지
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• 제25권1호
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• pp.28-37
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• 2011

Purpose: The study examined influencing factors on death anxiety in the aged. Method: This was a descriptive survey study. Data were collected from March to June, 2010, from357 older home-dwelling adults. The questionnaires solicited information on death anxiety, family function, morale, health behavior and ego-integrity. Data was analyzed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results: Average scores were 2.50 for death anxiety, 3.80 for family function, 9.0 for morale, 3.12 for health behavior and 2.84 for ego-integrity. There were statistically significant negative correlations between family function and death anxiety, morale and death anxiety, health behavior and death anxiety, and ego-integrity and death anxiety Morale, ego-integrity, and economic status were a significant predictor of death anxiety. Conclusion: Multilateral efforts are needed to assist the aged in successful aging through continuous body activities and active participation in society.

• 대한가정학회지
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• 제44권5호
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• pp.157-169
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• 2006

The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.

• 한국노년학
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• 제32권3호
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• pp.801-817
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• 2012

본 연구는 노인의 평생교육 참여(참여 여부 및 참여 분야)가 자아통합감에 미치는 영향을 살펴보고 노인 생활만족도의 매개효과를 검증하였다. 연구에 활용된 자료는 서울시복지재단에서 실시한 2010년도 서울시복지패널조사이며, 60세 이상의 노인 1,862명을 최종분석대상으로 추출되었다. 연구모형의 검증을 위해 구조방정식을 활용하였다. 연구 결과 첫째, 노인의 평생교육 참여와 자아통합감의 관계에서 생활만족도는 부분매개효과를 가지는 것으로 나타났다. 둘째, 노인평생교육 분야 중 어학 분야에 참여할수록, 문화예술 분야에 참여하지 않을수록 생활만족도는 높게 나타났다. 자아통합감에 있어서는 문화예술 분야에 참여할수록, 자기계발과 취미분야에 참여하지 않을수록 높게 나타났다. 이에 본 연구는 고령화 사회에서 노인의 평생교육 참여가 성공적 노화에 중요한 생활만족도와 자아통합감에 긍정적인 영향을 미친다는 결론에 기초하여 노인평생교육 활성화에 대한 이론적 실천적 함의를 제시하였다.

• 재활복지
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• 제21권3호
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• pp.49-63
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• 2017

본 연구는 장기요양시설에 거주하는 노인의 기능장애가 자아통합감과 우울에 미치는 영향을 파악하고, 기능장애와 우울과의 관계에서 자아통합감의 매개효과를 분석하기 위해, D지역과 K지역에 위치한 장기요양시설 거주 노인 247명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 21.0을 이용하여 분석하였으며, 분석결과, 장기요양시설 노인의 일상생활수행장애와 도구적 일상생활수행장애는 우울과 정적으로 유의한 관계를 가지는 반면, 자아통합감과는 부적 관계를 가지는 것으로 나타났다. 또한, 노인의 연령, 경제수준, 요양등급을 통제한 후, 기능장애가 자아통합감과 우울에 미치는 영향을 분석한 결과, 기능장애는 자아통합감과 우울에 유의한 영향을 미치는 것으로 제시되었으며, 자아통합감은 기능장애와 우울에 통계적으로 유의한 부분매개효과를 가지는 것으로 제시되었다. 이러한 연구결과바탕으로, 장기요양시설 노인의 기능장애와 자아통합감과 관련된 정신건강 증진을 위한 함의 및 후속연구를 위한 방향을 제시하였다.

• 한국산학기술학회논문지
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• 제19권8호
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• pp.160-166
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• 2018

본 연구의 목적은 노인의 주관적 통증, 주관적 건강, 주관적 행복감, 사회적지지, 자아통합감 정도를 파악하고, 자아통합감에 미치는 요인을 파악하고자 하였다. 연구를 위해 J시의 노인복지관을 이용하는 60세 이상 노인 250명을 대상으로 자료를 수집하여 분석하였다. 연구 자료는 기술통계, t-test, ANOVA, Pearson's Correlation Coefficient, multiple regression analysis를 이용하여 분석하였다. 결과, 첫째, 일반적 특성 중 경제능력만 영향을 미치는 것으로 나타났다. 둘째, 노인의 자아통합감과 주관적 통증(r=-.187, p=.003), 주관적 건강(r=.231, p<.001), 주관적 행복감(r=.164, p=.009), 사회적 지지(r=.207, p=.001)는 유의한 상관관계가 있는 것으로 나타났다. 셋째, 사회적 지지(${\beta}=.194$, p=.002), 주관적 건강이(${\beta}=.149$, p=.040), 이 자아통합감에 영향력이 있는 것으로 나타났으며 주관적통증과 주관적 행복감은 영향력이 없는 것으로 나타났다. 이들 네 개의 변수가 노인의 자아통합감을 총 10.8% 설명하는 것으로 나타났다. 그러므로, 노년기의 과업이며 성공적 노화인 자아통합감을 이룰 수 있도록 하기 위해서 노인의 사회적 지지를 향상시키고, 주관적 건강상태를 향상시키기 위한 노인의 중재 프로그램 개발이 필요하다.

• 한국노년학
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• 제37권3호
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• pp.637-653
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• 2017

본 연구는 노인의 자아통합감에 영향을 미치는 변인들을 통합적으로 살펴보기 위하여 2017년 4월까지 국내에서 출판된 56편의 연구를 바탕으로 메타분석을 실시하였다. 자아통합감 관련 변인들을 6개의 변인군으로 나누고 각각 변인군에 대한 하위변인별로 효과크기를 산출하였으며 분석결과는 다음과 같다. 첫째, 전체효과크기는 중간효과크기를 보였고, 변인군에 따른 효과크기는 긍정심리적변인군이 가장 크게 나타났으며, 부정심리적변인군, 신체적변인군, 가족적변인군, 사회적변인군, 인구통계적변인군의 순서로 나타났다. 둘째, 개별변인군에 대한 하위변인들의 효과크기는 긍정심리적변인군은 삶의 질, 부정심리적변인군은 우울, 신체적변인군은 건강행위, 가족적변인군은 자녀관계, 사회적변인군은 사회적지지, 인구통계적변인군은 경제상태가 가장 높게 나타났다. 상기와 같이 자아통합감과 관련된 변인들 중 삶의 질, 삶의 만족도 및 우울의 효과크기가 크게 나타남에 따라 이러한 변인들이 자아통합감 향상에 영향력이 클 수 있음을 시사하였다.