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Health-related Quality of Life of Patients With Diabetes Mellitus Measured With the Bahasa Indonesia Version of EQ-5D in Primary Care Settings in Indonesia

  • Muhammad Husen Prabowo;Ratih Puspita Febrinasari;Eti Poncorini Pamungkasari;Yodi Mahendradhata;Anni-Maria Pulkki-Brannstrom;Ari Probandari
    • Journal of Preventive Medicine and Public Health
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    • 제56권5호
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    • pp.467-474
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    • 2023
  • Objectives: Diabetes mellitus (DM) is a serious public health issue that places a heavy financial, social, and health-related burden on individuals, families, and healthcare systems. Self-reported health-related quality of life (HRQoL) is extensively used for monitoring the general population's health conditions and measuring the effectiveness of interventions. Therefore, this study investigated HRQoL and associated factors among patients with type 2 DM at a primary healthcare center in Indonesia. Methods: A cross-sectional study was conducted in Klaten District, Central Java, Indonesia, from May 2019 to July 2019. In total, 260 patients with DM registered with National Health Insurance were interviewed. HRQoL was measured with the EuroQol Group's validated Bahasa Indonesia version of the EuroQoL 5-Dimension 5-Level (EQ-5D-5L) with the Indonesian value set. Multivariate regression models were used to identify factors influencing HRQoL. Results: Data from 24 patients were excluded due to incomplete information. Most participants were men (60.6%), were aged above 50 years (91.5%), had less than a senior high school education (75.0%), and were unemployed (85.6%). The most frequent health problems were reported for the pain/discomfort dimension (64.0%) followed by anxiety (28.4%), mobility (17.8%), usual activities (10.6%), and self-care (6.8%). The average EuroQoL 5-Dimension (EQ-5D) index score was 0.86 (95% confidence interval [CI], 0.83 to 0.88). In the multivariate ordinal regression model, a higher education level (coefficient, 0.08; 95% CI, 0.02 to 0.14) was a significant predictor of the EQ-5D-5L utility score. Conclusions: Patients with diabetes had poorer EQ-5D-5L utility values than the general population. DM patients experienced pain/discomfort and anxiety. There was a substantial positive relationship between education level and HRQoL.

간호사를 위한 호스피스 완화의료 교육과정 개발 (Curriculum Development for Hospice and Palliative Care Nurses)

  • 최은숙;김현숙;이소우;유양숙
    • Journal of Hospice and Palliative Care
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    • 제9권2호
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    • pp.77-85
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    • 2006
  • 목적: 호스피스 완화간호 실무를 향상시키기 위하여 간호사를 위한 호스피스 완화의료 기본 교육과정을 개발하기 위함이다. 방법 간호사를 대상으로 하는 국내외 호스피스 완화의료 7개 교육과정의 내용을 비교하였으며, 전국의 호스피스 완화의료 기관에서 근무하는 간호사 162명에게 우편으로 교육 요구도를 조사하였다. 결과: 1. 국내외 교육과정에서 공통적으로 다루고 있는 내용은 호스피스 완화요법의 이해, 삶과 죽음의 이해, 말기 환자의 통증 및 증상관리, 기관견학 및 실습, 호스피스 병동 운영의 실제, 가정 호스피스, 건강사정(신체사정), 치료적 의사소통, 아동 호스피스, 호스피스 운영관리, 호스피스 완화의료 팀, 호스피스 완화의료의 윤리와 법, 심리적 사회적 영적 돌봄, 임종 관리, 사별가족관리 등이었다. 2. 간호사의 호스피스 완화의료에 대한 교육 요구도가 3.5점 이상인 문항은 34개였다. 교육 요구도가 높았던 문항은 '죽음의 이해 ', '죽음에 대한 태도와 반응', '통증의 이해와 평가' 등이었고, 이전에 교육받은 경험이 많았던 문항은 '통증 및 증상완화', '호스피스의 윤리와 법', '호스피스 협력 및 홍보체계 구축'이었다. 3. 17개 내용을 강의, 토론 및 증례 등의 교육방법을 통하여 이론교육 48시간과 실습교육 30시간, 총 78시간의 기본 교육과정 을 구성하였다. 결론: 앞으로 개발된 교육과정으로 교육을 시행하여 효과를 평가하고, 호스피스 완화의료기관 실무자들의 교육 요구도를 정기적으로 파악하여 실무의 발전에 기여할 수 있는 표준 교육과정을 개발하는 것이 필요하다.

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농촌지역 전기노인과 후기노인의 건강증진행위 관련요인 (Factors Related to Health Promoting Behaviors of Young-Old and Old-Old Elderly in Rural Areas)

  • 이명숙;임현자
    • 농촌의학ㆍ지역보건
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    • 제35권4호
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    • pp.370-382
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    • 2010
  • 본 연구는 농촌지역 노인의 연령별(전기노인, 후기노인) 건강증진행위 관련 요인을 분석하여 보다 나은 건강증진 행위를 도모하기 위하여 연령별 관련요인을 고려한 중재 전략을 수립하는데 기초자료를 제공하고자 시도된 횡단적 서술적 조사연구이다. 자료 수집기간은 2009년 6월 22일 부터 9월 18일까지였으며, 연구대상자는 65세 이상의 C도 1개 군 14개면에 거주하는 재가농촌 노인으로서 전기노인 359명, 후기노인 197명 총 556명을 대상으로 하였다. 구조화된 설문지를 이용하여 일반적 특성, 건강관련 특성, 사회 심리적 변수, 건강증진 행위를 직접면담을 통하여 조사하였다. 수집된 자료는 SPSS Win 12.0을 이용하여 $\chi^2$- test, t-test, Pearson correlation coefficient, Stepwise multiple regression 으로 분석하였으며, 연구의 결과는 다음과 같다. 첫째, 대상자의 평균 연령은 전기노인 69.43세, 후기노인 79.14세였으며, 두 집단 간 일반적 특성에 따른 유의한 빈도차이를 보인 항목은 교육수준, 배우자 유무, 동거 세대 수에서 유의한 차이를 나타냈다. 대상자의 건강관련 특성에서 건강검진 유무, 만성 질환 수, 지각된 건강상태에서 유의한 차이를 나타냈다. 둘째, 노인의 건강증진행위와 관련 있는 변수들에 대하여 연령별 차이를 비교한 결과 지각된 건강상태 점수는 전기노인이, 일동활동장애 점수는 후기노인에서 더 높았으며, 삶의 질은 유의한 차이가 없었으나 자기효능감은 전기노인에서 유의하게 더 높은 것으로 나타났다. 노인의 연령별(전기, 후기) 건강증진행위 차이에 있어서 전기노인은 2.75점 후기노인은 2.67점으로 전기노인이 후기노인에 비해 건강증진행위 점수가 더 높았다. 건강증진 행위에 대한 하위 항목별 실천정도는 전기노인은 건강책임, 대인관계, 영양, 자아실현, 운동, 스트레스관리 순이었고, 후기노인은 대인관계, 건강책임, 영양, 자아실현, 스트레스관리, 운동 순으로 두 집단 간 순위 차이가 있었으며, 운동과 건강책임의 하위영역에서만 유의한 차이가 있게 나타났다. 셋째, 건강증진행위와 유의한 상관관계를 나타낸 변수는 전기노인과 후기노인 모두에서 지각된 건강상태, 삶의 질, 자기효능과 유의한 정적상관을 보인 반면 일상 활동 장애와는 유의한 상관관계가 없는 것으로 나타났다. 넷째, 다중회귀분석 결과에 전기노인들의 건강증진행위 수행에 영향을 미치는 요인들로 삶의 질, 자기효능, 배우자 유무, 동거 가족 수가 유의한 변수로 선정 되었고, 인구사회학적 특성, 지각된 건강상태, 삶의 질, 자기효능감 등 투입된 변수들로 건강증진행위 수준을 42.2%의 설명할 수 있었고, 후기노인은 삶의 질만이 유의한 변수로 선정되었고, 투입된 변수들로 37.9% 설명할 수 있었다. 이상의 결과에서 농촌지역 노인을 연령별 두 그룹으로 분류했을 때 건강증진행위와 관련된 요인이 다른 것을 알 수 있다. 본 연구 결과 농촌지역 노인들을 전기노인과 후기노인 두 그룹으로 분류했을 때 건강증진행위수행 관련 요인이 다르기 때문에 농촌지역 노인의 건강증진 수행을 높이기 위해서는 연령별 관련요인을 고려한 건강증진 프로그램 개발과 접근이 요구된다.

고혈압환자에게 적용한 자가관리프로그램 중재 효과 (Effects of Self Care Program on Hypertensive Control in Hypertensive Patient)

  • 김옥란
    • 지역사회간호학회지
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    • 제14권4호
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    • pp.568-578
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    • 2003
  • 본태성 고혈압 환자를 대상으로 고혈압 자가관리를 증진시키고 생리적 지표인 혈압, 총콜레스테롤치를 감소시키기 위한 자가관리프로그램의 효과를 검증하기 위해 2001년 9월 15일부터 2002년 4월 30일 까지 상주적십자병원에 등록된 본태성 고혈압환자로서 혈압이 140/90mmHg 이상이거나 항고혈압제를 복용 중인 35세이상 75세 미만 남 여 70명을 대상으로 한 유사실험 연구이다. 식습관 변화에서 저염분섭취정도와 고칼슘 칼륨섭취 정도가 1차 사후 검사와 2차 사후 검사시 실험군에서 유의하게 높아졌고, 두 군 간에도 유의한 차이가 있었다(p<0.05, p<0.01). 그러나 동물성 지방섭취정도에는 1차 사후 검사와 2차 사후 검사시 실험군과 대조군 모두 유의한 차이가 없었으며 두 군간에도 유의한 차이가 없었다. 생활습관의 프로그램 중재 효과지수는 흡연이 1차 사후 검사시 0.797, 2차 사후 검사시 0.601, 운동이 1차 사후 검사시 0.600, 2차 사후 검사시 0.849이었다. 그리고 음주정도의 변화는 거의 없었다. 규칙적 항고혈압제 복용의 프로그램 중재 효과지수는 0.715이었다. 생리적 지표 중 수축기 혈압은 실험군과 대조군 모두 1차 사후 검사와 2차 사후 검사시 낮아졌으나 2차 사후 검사시 두 군 간에 유의한 차이가 있었다(p<0.05). 이완기 혈압은 실험군과 대조군 모두 1차 사후 검사와 2차 사후 검사시 낮아졌으나 (p<0.05), 두 군 간의 유의한 차이는 없었다. 총콜레스테롤치는 실험군이 2차 사후 검사시 낮아졌으나 유의한 차이는 없었고 두 군 간에도 유의 한 차이는 없었다. 이러한 결과를 바탕으로 고혈압자가관리증진프로그램이 식습관과 생활습관의 개선, 그리고 규칙적인 항고혈압제 복용을 포함하는 자가관리를 증진시키고, 수축기 혈압 감소에 영향을 미치는 것을 확인하였으며 장기적으로는 이완기혈압, 총콜레스테롤치 조절에 영향을 미치는 결과를 가져올 수 있을 것으로 본다.

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세브란스 호스피스 추후관리 프로그램의 효과에 관한 연구 (A STUDY OF THE EFFECTIVENESS OF THE BEREAVEMENT PROGRAM OF SEVERANCE HOSPICE)

  • 왕매련
    • 대한간호
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    • 제31권2호
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    • pp.51-69
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    • 1992
  • Grief that is not acknowledged and worked through may manifest itself in some emotional, mental or physical problem. In recent years much has been learned about coping with grief which the hospice program can utilize to help family members cope with their grief. This study was carried out to determine the helpfulness of the bereavement care of Severance Hospice and to learm more about the grief response of the bereaved. The tools used to collect data were an assessment form used in the bereavement program and the Grief Experience Inventory developed by Sanders and revised and translated 'by the researcher. Data was obtained from bereaved family members(54 for the final grief assessment and 39 for the grief response assessment) receiving bereavement follow-up, from July 1989 to March 1991. Results of the study were as follows: 1. Final Grief Assessment Regarding the resolution of their grief the majority of the bereaved accepted the reality of the death of their family member, while slightly more than three-quarters were able to express their feelings toward their loss. A large majority had returned to activities of daily living well or fairly well and had reinvested their energy in a person other than the deceased. In addition, the physical condition of the majority was good or fairly good. A majority of the bereaved considered the bereavement care to be helpful and almost three-quarters were not considered to be in need of more follow-up. 2. Grief Response Assessment Age was found to have a modoerately positive correlation to appetite disturbance(r=.41, P<.Ol) and loss of vigor(r=.37, P<.Ol) A moderately positive correlation was found between the number of contacts and sleep disturbance(r=2.38, P<.01) Significant differences were found between men and women in regard to guilt(t=2.38, P<.05), social isolation(t=2.44, P<.05) and depersonalization(t=2.07, P<.05) with men having the more intense grief. Significant differences were found in the grief responses of somatization(F=5.82, P<.001), physical symptoms(F=5.87, P<.OOl), appetite disturbance(F=4.40, P<.Ol), despair(3.79, P<,Ol), anger(Fp2.83, P<.05), social isolation(F=3.61, P<.05), guilt(F=3.62, P<.05) and depersonalization (F = 2.58, P <.05). In the first six of these grief responses mothers scored highest, followed by husbands and then wives, In the grief response of guilt, daughters scored highest and on the grief response of depersonalization sons scored highest. Only one grief response, that of sleep disturbance(t= -2.19, P<.05) was found to be statistically significant, with those family members who died at home having the higher scores. Based on the results of this study several suggestions are presented as follows: 1. Since unresolived grief can have a detrimental effect on the bereaved person's mental and phys. ical health it would be good for the nurse, to include questions related to death of family members and the bereaved person's response to the grief, in her nursing assessment. And in the case of unresolved grief the nurse should encourage the person to talk with a trusted friend or counselor and express their fellings of grief. 2. A study to determine the degree of resolution of the grief of those in the bereavement program could be carried out by use of the Grief Experience Inventory early in their bereavement and again 13 months after the death of their family member. 3. A comparison of the grief response of the bereaved in the bereavement program and bereaved not in the program could be carried out using the Grief Experience Inventory. 4. After bereavement programs have been started in other hospice programs it would be good to carry out a joint study of bereavement outcomes of those in the bereavement programs.

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관절통환자의 통증정도와 통증연관 행위에 관한 연구 (The Pain Behavior of Patients with Joint Pain)

  • 이은옥;한윤복;김순자;이선옥;김달숙;김조자;김광주;김주희;박점희
    • 대한간호학회지
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    • 제18권2호
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    • pp.197-210
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    • 1988
  • The purposes of this study were : 1) to assess the level of pain and to identity the varieties and the degree of pain-related behavior, 2) to measure the level of correlation between the level of pain and the degree of pain- related behavior, 3) to test the correlation between the Korean Pain Rating Scale (KPRS) and Graphic Rating Scale(GRS), and 4) to gather data relevant to the Socio-demographic status of the subjects. The level of pain was measured by KPRS and GRS developed by the researchers. The KPRS consists of three dimensions ; the sensory, the affective and the miscellaneous and the GRS of two separate scales ; the intensity scale and the unpleasantness scale. Of the 2, 025 who had visited orthopedic and neurosurgical out-patients department of 11 university hospitals in various districts of Korea with the episode of Joint pain, 405 subjects were self-selected by responding to the data gathering tools and questionaires mailed. The results are summaried as follows : 1. Maale(217, 53.6%) exceeded female patients(188, 46.4%) in number and the onset of joint pain was more prevalent in the age groups of the 20s and the 30s. 160(39.5%) had been hospitalized for the treatment of, and 87(21.5%) had retired because of the joint pain. 2. Mean pain score measured by KPRS was 128.31 (range; 0-1.344.8) ; mean sensory score was 43.23(range ; 0-645.88%), mean affective score was 46.09(range ; 0- 356.72), and mean miscellaneous score was 39.99(range ; 0-341.68). Mean pain scores measured by GRS were ; sensory intensity score ; 109.1(range ; 0-200) and distress score ; 99.1 (range ; 0-200). 3. The prevalent sites of joint pain revealed to be the right knee joint(203; 50.1%), left knee joint(181(44.7%), left ilium(147, 36.3%), lumbar region (106; 26.2%), hip joint(92; 22.7%) and the ankle(84; 20.7%). 4. The average sleep hour was 6.8hours per day and the average rest hour during the day hours was 3.3hours (range 0-20). 5. The average duration of suffering from joint pain was 49.1 months. 6. Most of the subjects(298; 73.6%) used some sorts of pain relieving practices ; the most prevalent pain relieving practice was the compliance with the physician prescribed treatments(34.4%). 7. The level of discomfort in carrying out the ADL(activities of daily living was 101.16(38.83) and the level of needs for aid in carrying out the ADL was 76.62(31.79). 8. The interrelation between KPRS total score and GRS sensory intensity score(.4438), as well as that of GRS distress score(r=.4446) were not highly correlated, however, sensory and affective dimension within KPRS (.7547) and pain intensity and distress score of GRS(.6975) revealed moderate intercorrelation. 9. Pain-related behaviors such as discomfort in carrying out ADL, the need for aids in carrying out ADL, frequency of pain relieving practices, varieties of pain sites and length of rest hours during the day hours revealed to be highly correlated with the level of pain measured by KPRS, GRS sensory intensity scale and GRS distress scale. The following are recommended ; 1. Test for the correlation of KPRS total score and the summated score of GRS ; sensory intensity and distress scores. 2. Possibilities of utilization of the pain-related behaviors which revealed high correlation as indirect assessment tool for measuring the level of pain.

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여성 골다공증환자의 골다공증에 대한 지식, 건강증진행위 및 삶의 질과의 관계 연구 (A Study of Correlation among the Knowledge of the Disease, Health Promoting Behaviors and the Quality of Life in the Female Patients with Osteoporosis)

  • 이혜영
    • 근관절건강학회지
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    • 제8권1호
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    • pp.65-85
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    • 2001
  • Osteoporosis is the disease that is the most controversial issue with the aging tendency in 1990. It is an important issue in dealing with the health management for women in middle life. This study is designed to determine the relationships among the level of the knowledge of osteoporosis, the health promoting behaviors and the quality of life. The test has conducted a questionnaire survey of women with osteoporosis. This is a study that focused an interrelation of above issues and its purpose is to gain a foundation of a nursing intervention that can help to improve the qualify of life of an osteoporosis patients. The method of collecting data is collecting a questionnaire survey, individual interviews and records and the collected 123 questionnaire surveys are utilized for an data analysis. Questionnaire surveys are conducted in K and S Universities infirmaries and K general hospital in Seoul and C and J general hospital in near Seoul area from Sep. 27th to Nov. 4th, 2000. The instruments of this study were as follows: Yoon's used the revised and supplemented instrument to test the level of the knowledge of osteoporosis and she referred to the substance of Cassells & Knotz. Lee's revised and supplemented the instrument called Health Promoting Life style Profile that were invented by Walker, Sechrist & Pender and she used it to test the health promoting behaviors with the questionnaires added by this researcher. They are not related to the quality of life but relevant to the patients. Ro's tested the quality of life with the instrument that was invented by herself. The results of this study were as follows. 1. The general characteristics of this study subjects showed that the age of the patients was concentrated from 50 to 59. The periods after menopause was mainly from 6 to 10 years. Subjective symptoms that patients usually complain were musculoskelectal symptoms. 2. The results of measuring the level of the knowledge of osteoporosis, the health promoting behaviors and the quality of life were following. The level of the knowledge was the score 19.83 and it was above middle score out of the score 27 as full marks. In the result of the health promoting behaviors test, the score average was 2.58 with 4 point rating scale and it was about middle score. The quality of life test showed that average score was 2.92 with 5 point rating scale and it indicated that the quality was also around middle score. 3. The statistical test in the activities for promoting health according to the general characteristics of the patients showed that only monthly income has statistically significant difference(F-4.761, p=.004). The same test for the qualify of life indicated that the quality of life was higher from 1 to 5 years after menopause but it was not meaningful statistically. 4. In the correlation among the level of knowledge of osteoporosis, the health promoting behaviors and the qualify of life of the patients, showed a relationship between the health promoting behaviors and the qualify of life. The higher the health promoting behaviors, it was also higher the quality of life. But it was statistically significant with significant positive correlation.

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갱년기 증상과 생활스트레스의 관계에 관한 연구 (An Analytical Study of the Relationship between Climacteric Symptoms and the Stress of Life Events)

  • 임은옥
    • 한국보건간호학회지
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    • 제8권2호
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    • pp.1-34
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    • 1994
  • This study has been done in order to analyze the relationship between climacteric symptoms and the stress of life events. For the purpose of this study. objectives set up were as followings. : 1. Climacteric symptoms complained by middle aged women are studied. 2. The stress of life events experienced by middle aged women is studied. 3. The relationship between climacteric symptoms and the stress of life events is studied. 4. The relationship between climacteric symptoms and general characteristics is studied. and the relationship between the stress of life events and general characteristics is also studied. The sample size of this study was 462 cases. The subjects were middle-aged women. who were from 40 to 60 years old and resided in Seoul. Data were collected by using questionnaires which consisted of 122 questions from Jan. 1 to Feb. 7 in 1992. The questionnaires include questions about general characteristics. climacteric symptoms and life events. The measurement scales for this study were adopted from the climacteric symptoms scale developed by Chi. Sung-Ai and the measurement scale of stress related to life events devised by Lee. Pyoung Sook. The analysis of data collected was done by using SPSS-pc package. Firstly. general characteristics were analyzed by using descriptive statistical methods. Secondly. climacteric symptoms were analyzed by using descriptive statistical methods. the analysis of variance and correlation analysis. Thirdly. the stress of life events was studied by using descriptive statistical methods. the analysis of variance. and tests of independence. The results of this study are as followings. 1. General characteristics of the respondents are as followings: The average age is 49. 13. and the age group from 46 to 50 has $30.5\%$ in the respondents. Christianity is the major religion $(42.6\%)$. and the respondents with a high school diploma are $(43.1\%)$ of the respondents. $60\%$ of all respondents are housewives. and $90.5\%$ are married. The average number of children is 2.71. and the average number of family is 4.24 Monthly income of $39.1\%$ of the respondents is from l,010,000 Won to 2,000,000 Won. The premenopausal group is $4.9\%$. and $45.5\%$ of all respondents are satisfied with marrital life. $43.3\%$ of all feel happy. and $13.9\%$ feel economic frustration. $27.9\%$ of respondents are satisfied with sexual life. and $45\%$ of all report that the amount of recreational activities are more needed. 2. The average score of climacteric symptoms is 1. 8461 (The maximum score is 5.0). The symptoms complained frequently are nervousness. muscle-ache. fatigue. headache and knee-ache. Climacteric symptoms are significantly different in menopausal states. age groups. the number of children, marrital satisfaction. the feeling of life. self-reported health states and sexual satisfaction. 3. The life events occurred frequently were 'discord with husband', 'children's important exams', 'separation from husband related to works' and 'vacation'. When life events are analyzed by factors. the most frequently mentioned factor is 'marrital life'. The stress of life events is significantly different in a few general characteristics (age. the number of children, the number of family, monthly income, menopausal status, the feeling of life. self-reported health states, economic satisfaction). 4. The score of climacteric symptoms complained is significantly different according to the stress of life events (p<0.051, Especially, the difference is the widest in psychological symptoms according to the factor of 'couple. marrital life' among stressful life events. In Summary, climacteric symptoms complained by middle-aged women are related to the amount of the stress of life events. Whether life events are positive of negative is not important. Yet. climacteric symptoms and stressful life events are deeply related to general characteristics. so we can not insist strongly that one be directly related to the other.

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일지역 노인이 지각한 사회적 지지에 관한 연구 (A Study on the perceived Social Support in the Elderly)

  • 김상순
    • 농촌의학ㆍ지역보건
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    • 제24권2호
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    • pp.233-243
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    • 1999
  • 본 연구는 노인들이 지각한 사회적 지지의 정도를 확인하고 노인의 일상생활활동과 상관관계를 분석함으로써 노인의 삶의 지을 향상시킬 수 있는 간호중재방안의 모색에 유용한 기초자료를 제공하기 위해 시도하였다. 본 연구는 대구와 경북에 거주하는 65세 이상의 재가노인으로 대구지역 120명과 경북지역 119명이며 자료수집 기간은 1998년 7월 20일부터 8월 30일 까지 이다. 연구도구로는 송미순(1991)의 지각된 사회적 지지 척도로서 정보적 지지 6문항, 물질적 지지 5문항, 감정적 지지 5문항, 자존감 지지 4문항으로 구성된 총 20문항과 Lawton과 Bordy(1971)의 수단적 일상생활활동(Instrumental Activities of Daily Living: IADL) 측정도구 8문항을 사용하였다. 자료 분석 방법은 SAS 프로그램을 이용하여 실수와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson Correlation으로 분석하였다. 연구결과를 요약하면 다음과 같다. 1) 노인이 지각한 사회적 지지가 전체 평균점수 2.36점 이었으며, 이 중 물질적 지지가 2.52점으로 가장 높았고 자존감 지지가 2.18점으로 가장 낮았다. 2) 노인의 일상생활활동중에서 물건구입 평균점수 2.89점, 자신의 투약에 대한 책임 2.62점, 수송양식 2.22점 순으로 높았으며, 세탁일 평균점수 1.24점, 음식 준비 능력 1.58점 순으로 낮았다. 3) 노인이 지각한 사회적지지 중 자존감 지지(r=.58, p=.013), 정보적지지(r=.54, p=.048), 감정적지지(r=.41, p=.000), 그리고 물질적지지(r=.32, p=.000) 순으로 유의한 상관관계를 나타냈다. 4) 대상자의 일반적 특성에 따른 사회적지지 정도의 차이를 검증한 결과 유의한 차이를 보인 것은 연령(F=4.61, p=.004), 교육정도(F=4.04, p=.002), 배우자 유무(t=3.37, p=.000) 한달 용돈 정도(F=3.51, p=.032), 용돈에 대한 만족도(F=5.12, p=.007) 등으로 나타났다. 이상의 결과로 미루어 볼 때 사회적 지지가 노인의 일상생활활동에 영향을 미치는 중요한 요인이 되므로 특히 사회교육으로부터의 정보적지지, 용돈 등으로 부터의 물질적지지, 배우자나 사회망으로부터의 정서적 지지와 자존감 지지가 효과적인 지지가 되므로 노인을 중심심으로 한 사회망으로부터 사회적 지지를 고취시키고 우리나라 노인에게 알맞는 지지간호 중재 개발이 필요하다. 본 연구의 결과를 기초로 하여 다음의 제언을 하고 자 한다. 1)노인의 일상생활활동을 증진시키는 사회적지지 간호중재 프로그램의 개발에 대한 추후 연구가 필요하다. 2) 노인의 사회적 지지가 노인의 일상생활활동에 미치는 영향을 규명하는 유사실험연구를 시도할 것을 제언한다.

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기초생활보장수급 여성노인의 신체활동수준에 따른 심혈관질환 위험요인 및 근감소증 관련요인의 비교 분석 (Comparisons of Cardiovascular Disease Risk Factors and Sarcopenia-related Factors according to Physical Activity Levels in Basic Livelihood Security Recipients Elderly Women)

  • 황은진;홍지영;박준규;김정은;김석화;공현중
    • 디지털융복합연구
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    • 제11권10호
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    • pp.507-516
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    • 2013
  • 이 연구는 기초생활보장수급 여성노인의 신체활동수준을 파악하고 심혈관질환 위험요인과 근감소증 관련요인의 관계를 조사하여, 노인의 건강한 삶을 위한 신체활동프로그램을 개발하는데 목적이 있다. 이 연구의 대상자는 K구의 노인복지관을 이용하는 평균 $71{\pm}6.67$세의 기초생활보장수급 여성노인 134명을 대상으로 하였다. 노인들의 신체활동수준을 조사하기 위하여 세계 신체활동설문지를 이용하여 평균 7일간의 신체활동수준을 측정하였고, 이에 따라 저강도 신체활동군(n=77), 중강도 신체활동군(n=57)으로 분류하였다. 심혈관질환 위험요인으로 혈압, 허리둘레, 혈중지질, 혈당, 동맥경화지수를, 근감소증 관련요인으로는 체지방률, 사지근육량, 총근육량, 근육지수를 측정하였다. 두 집단에 대한 차이를 분석하기 위하여 독립표본 t검정(independent samples t-test)을 실시하였고 유의수준은 ${\alpha}=.05$로 하였다. 분석결과, 중강도 신체활동군에서, HDL-C(p=.017)은 높게, 동맥경화지수(p=.007)는 낮게 나타났으며, 체지방률(p=.008)은 낮게, 사지근육량(p=.000), 총근육량(p=.000), 근육지수(p=.001)는 높게 나타났다. 중강도의 신체활동은 노인의 심혈관질환 위험요인과 근감소증 수준에 긍정적인 영향을 미치는 것으로 판단되고 노인의 건강한 삶을 위해서는 다양한 방법의 신체활동증진 프로그램을 통한 중강도 이상의 규칙적인 신체활동 참여가 필요하다고 사료된다.