• 한국융합학회논문지
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• 제10권8호
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• pp.45-52
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• 2019

본 연구는 중년의 건강실천행위가 치주상태를 매개하여 우울을 예측할 수 있는지를 알아보기 위해 시행하였다. 2015년도 국민건강영양조사 데이터를 활용하여 만 45세에서 64세 총 2,064명의 중년을 연구대상으로 하였으며, SPSS 24.0와 SPSS PROCESS macro를 이용하여 자료 분석을 하였다. 그 결과, 중년의 성별에 따른 조사결과 우울은 여성(0.15)이 남성(0.10)보다 높게 나타났다. 동거유형에 따른 조사에서는 1인가구주의 건강실천행위(3.92)가 가장 낮았으며 우울(0.25) 및 치주상태(1.76)는 가장 높은 것으로 조사되었다. PROCESS macro에 의한 매개효과 검증결과, 치주상태는 건강실천행위와 우울의 관계에서 매개효과가 있는 것으로 나타났다(${\beta}=-0.0180$, BCCI [-0.0353~-0.0042]). 이러한 결과는 치주상태가 중년의 우울증에 밀접하게 연관되어 있으며, 향후 중년층을 대상으로 하는 정신건강증진프로그램 개발을 위한 기초자료로 활용될 수 있으리라 생각된다.

• 한국사회복지학
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• 제61권2호
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• pp.303-324
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• 2009

본 연구는 서울과 춘천에 거주하는 65세 이상 노인 1,409명을 대상으로 노인과 자녀가 주고받은 사회적 지지가 노인의 건강상태가 우울에 미치는 영향을 매개하는 효과가 있는지를 살펴보았다. 연구 결과, 노인의 건강상태가 나쁘고, 사회적 지지가 낮을수록 우울정도가 높았으며, 노인의 건강상태가 우울에 미치는 영향에 대해 사회적 지지가 부분적인 매개효과를 지니며, 이러한 효과는 성별로 다르게 나타났다. 남성노인의 경우, 자녀에게 제공받은 도구적 지지와 자녀에게 제공한 정서적 지지와 도구적 지지가 건강상태가 우울에 미치는 영향을 매개하는 것으로 나타났으며, 여성노인의 경우에는 자녀로부터 받은 모든 사회적 지지(정서적, 도구적, 재정적 지지)와 자녀에게 제공한 도구적 및 재정적 지지가 매개효과를 지니는 것으로 나타났다. 이러한 연구결과를 바탕으로 사회복지실천 현장에서의 적용과 향후 연구를 위한 제안을 제시하였다.

• 지역사회간호학회지
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• 제20권3호
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• pp.277-284
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• 2009

Purpose: This study was to investigate depression prevalence and related factors of depression in Jeju Province. Methods: The study sample selected using randomized cluster sampling method, and the unit of cluster was 25 households. Data were collected from 1275 adults in 723 households through home visit interview. The response rate was 89.4%. The instrument used for measuring depression was CES-D, the cut-off score was 21. Data were analyzed using Chi-square test and logistic regression. Results: The prevalence of depression in Jeju was 18.1%. The significant differences were found with depression prevalence rate by the group of gender, age, inhabited area, marital status, educational status, monthly household income, life satisfaction, socioeconomic status, perceived health status, morbidity during last 2 weeks, perceived stress, perceived fatigue, participation in social activities, and family life satisfaction. The most predictive factors among those variables were perceived fatigue with 17.93 of odds ratio, family life satisfaction with 9.86 odds ratio, and perceived stress with 9.66 of odds ratio. Conclusion: The prevention and management of depression program development was suggested and mental health promotion program for the prevention of depression was suggested.

• 치위생과학회지
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• 제22권2호
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• pp.67-74
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• 2022

Background: Depression and cognitive function have a positive effect on the improvement of quality of life and extension of lifespan in the elderly. In addition, it appears as a major factor influencing oral health status. Therefore, this study looked at the relationship between the Geriatric Oral Health Assessment Index (GOHAI), depression, and cognitive function in the elderly using the Korea Longitudinal Study of Aging. Methods: In this study, 4,535 elderly people aged 65 years and over were targeted using the 7th data of the 2018 Korea Longitudinal Study of Aging. A t-test and ANOVA analysis were performed to compare GOHAI, depression, and cognitive function by group. In addition, hierarchical multiple linear regression was performed to understand the effect of the elderly's perceived depression scale and cognitive ability on GOHAI. Results: As a result of adding the depression scale and cognitive function variables to Model 2, the explanatory power was 22%. Educational level, marital status, private health insurance subscription, average monthly allowance, subjective health status, use of dentures, smoking status, economic activity, depression scale, and cognitive function were found to have significant influence (p<0.05). In addition, when controlled and viewed with all factors, depression and cognitive function were found to have an effect on oral health-related quality of life. Conclusion: The findings indicate that depression and cognitive function are associated with oral health-related quality of life in the Korean elderly. As the age increases, the quality of life declines due to depression and cognitive function problems, in addition to oral discomfort, eating disorders, and physical discomfort.

• 지역사회간호학회지
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• 제28권3호
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• pp.251-259
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• 2017

Purpose: This study aims to examine the influence of vitamin D and calcium on depression and cognitive function of the elderly living alone in a city. Methods: The participants were registered in eight senior centers in S city and they had lived alone. Data were collected between November 28, 2014 and March 7, 2015. A total of 155 people participated in data collection to measure the serum vitamin D, the serum calcium, depression, and cognitive function. The data were analyzed with t-test, ANOVA, Pearson's correlation and multiple regression analysis. Results: There were significant differences in depression according to gender and perceptions of health status. Depression correlated significantly with the serum calcium and perceptions of health status, and a stepwise regression analysis showed that the perceptions of health status were significant. There were significant differences in cognitive function according to education level and age. Cognitive function correlated significantly with the serum vitamin D and a stepwise regression analysis showed that education level and age were significant. Conclusion: Consequently, elderly people with poor perceptions of their health status need a depressive intervention program and those with a higher age and lower level of education need a cognitive function intervention program.

• 여성건강간호학회지
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• 제10권2호
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• pp.91-98
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• 2004

Purpose: The purpose of this study was to examine the relationship between spiritual well-being, depression, and health status of elderly women in a community for providing the basic data necessary to improve the practice of nursing. Method: The participants were 295 elderly women, over 65 years old in Gwangju and Kyongbuk province, Korea. The data were collected between April 15th and June 15, 2003 using a structured questionnaire and were analyzed using SPSS Win 8.0. Result: Factors such as religious belief (p<.001), type of religion (p<.001), participation of worship (p<.001), significance of religion (p<.001), education(p=.001), spouse(p=.015), financial supporter(p=.001), and living satisfaction(p<.001) showed a statistically significant relation with spiritual well-being. There was a negative correlation between spiritual well-being and depression(r=-0.32, p<.001),and between health status and depression(r=-0.50, p<.001). However, there was a positive correlation between spiritual well-being and health status(r=0.32, p<.001). Conclusion: In order to promote spiritual well-being in elderly women, it is necessary to develop a nursing intervention program classified by the type of religions, followed by studies on the results of proven intervention programs.

• 지역사회간호학회지
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• 제20권2호
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• pp.169-178
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• 2009

Purpose: This study was conducted to find perceived health status, ADL, depression, and life satisfaction among the rural elderly and to explore differences according to gender and the stage of exercise change. Methods: This is an exploratory survey study. The subjects were 365 elders consisting of 140 men (38.4%) and 225 women (61.6%) in a rural area in Korea. Data were collected from December, 2006 to January, 2007 using a structured questionnaire. The data were analyzed by Pearson's correlation, t-test, ANOVA, and Scheffe's test using the SPSS/WIN 10.0. Results: The mean scores of perceived health status and ADL were lower and depression was higher in women than in men. There were statistically significant differences in perceived health status according to the stage of exercise change. Also there were significant differences in the scores of ADL, depression, and life satisfaction according to the stage of exercise change. Conclusion: The tailored exercise seems to decrease depression while promoting physical health status and life satisfaction among the rural elderly. We suggest considering the client's intention and motivation when developing exercise programs.

• 기본간호학회지
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• 제24권2호
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• pp.138-145
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• 2017

Purpose: This study was conducted to determine factors affecting depression in women patients with osteoarthritis. Methods: Raw data from the 6th Korea National Health and Nutrition Examination Survey in 2014 was used. Data for 480 women were included. Variables related to general, physical and psychological characteristics were selected. After a sampling plan compound file was created using IBM SPSS 23.0 program, data were analyzed by giving weights. Results: The results of the study are as follows. 1) Depression was significantly different according to economic status, marital status, knee pain, stress and subjective health status (p<.05). 2) Factors affecting the women included marital status, knee pain, stress, and subjective health status. The explanatory power was 41.0%. Conclusion: Results indicate that there is a need to give comprehensive consideration to the factors identified in this study when designing preventive interventions and management plans to alleviate depression in women with osteoarthritis.

• 한국보건간호학회지
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• 제30권2호
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• pp.337-348
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• 2016

Purpose: This study was to examine the factors (depression, level of health status, physical function, depression) influence health related quality of life (EQ5D) in community dwelling elderly according to sex. Methods: A total of 226 elderly subjects over the age of 65 years in community were included. Data were collected by measuring the physical function (muscle endurance, flexibility, balance, and cardiovascular endurance) and by using a questionnaire about EQ5D, depression, health status. Data were analyzed by SPSS 18.0 and AMOS 18.0. Results: The major findings of this study are as follows. Explained variance of EQ5D by regular exercise, physical function, and level of health status was 19% for male elderly subjects and 26.0% for female elderly subjects. The effect was different according to sex. Depression has the effect on EQ5D (${\beta}=-.356$, p<.001) in females, while the level of health status has the effect (${\beta}=.314$, p=.027) in males. Conclusion: The results of this study indicate that the effect of regular exercise, physical function, and level of health status were different on EQ5D according to sex. Thus, different health programs according to sex are necessary to increase the quality of life in elderly individuals.

• 한국학교ㆍ지역보건교육학회지
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• 제23권4호
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• pp.49-61
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• 2022

Objectives: It is reported that the depression of women with disabilities is higher than that of men with disabilities and people with disabilities. Therefore, the purpose of this study is to identify the depression level and influencing factors of middle-aged women with disabilities. Method: For this study, the 2020 survey on the disabled was used. The subjects were 2,546 middle-aged and disabled women over the age of 40 who responded to the survey. For data analysis, SPSS Window 26.0 program was used. Descriptive analysis, chi-square test, and multiple logistic analysis were performed to identify factors affecting depression in middle-aged women with disabilities. Results: In this study, marital status, subjective economic status, disability type, subjective health status, subjective obesity, chronic disease, exercise, stress and suicidal ideation, and self-going ability variables of middle-aged and elderly women with disabilities were found to be related to depression. Factors affecting the depression of middle-aged women with disabilities were analyzed to be marital status, smoking, stress, and suicidal ideation variables. Conclusion: Stress and suicidal ideation should be reduced to effectively reduce depression and improve depression in middle-aged and elderly women with disabilities. And the development and application of health education and programs that can promote mental health are required.