농촌의학ㆍ지역보건 (Journal of agricultural medicine and community health)

한국농촌의학지역보건학회 (Korean Society for Rural Medicine and Community Health)
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거주유형별 노인의 허약정도, 건강증진 행위 및 주관적 건강상태 비교

A Comparision on Frailty, Health Promotion Behavior, and Perceived Health Status in the Elderly according to the Type of Residency

  • 투고 : 2009.11.11
  • 심사 : 2009.12.27
  • 발행 : 2010.03.31
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초록

본 연구는 재가노인과 시설거주노인의 허약노인 비율, 허약정도, 건강증진행위 및 주관적 건강상태를 비교하여, 거주유형에 따른 허약노인의 특성을 고려한 건강관리전략을 수립하는데 기여 하고자 실시한 서술적 조사연구이다. 연구대상자는 65세 이상의 D광역시에 소재한 7개 노인정을 이용하는 재가노인 120명과 5개 무료 및 실비 요양 시설에 거주하고 있는 시설거주노인 122명 총 242명을 대상으로 2009년 6월 15일부터 8월 2일까지 자료를 수집하였다. 연구도구로는 허약노인선정도구로서 장기요양보험제도에서 사용하는 기초측정표 설문지, Walker 등[18]이 개발한 건강증진생활양식 측정도구를 기반으로 한 건강증진 행위 측정도구, Lawston 등[19]이 개발한 주관적 건강상태 측정도구를 사용하여 측정하였다. 수집 된 자료는 SPSS Win 15.0을 이용하여 빈도와 백분율, $x^2$-test, ANCOVA, Scheffe 사후검증으로 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 재가노인 중 허약노인은 20.8%, 시설거주노인 중 허약노인은 49.2%로 나타났다. 둘째, 시설거주노인의 허약정도는 9.41점으로 재가노인은 6.46점보다 더 심한 것으로 나타났다(p<.05). 재가노인의 건강증진행위점수는 2.12점으로 시설거주노인의 1.99점보다 높았으며(p=0.046), 건강증진행위 하위항목별로 보면 재가노인의 영적성장(p=.008)과 대인관계(p=.043)점수가 시설거주노인보다 높았다. 주관적 건강상태는 재가노인과 시설거주노인 간에 차이가 없었다. 셋째, 허약노인과 비허약노인의 거주유형별 허약정도를 보면, 재가 허약노인과 시설거주 허약노인이 비허약노인보다 허약정도가 심하고, 비허약노인 중에서는 시설거주 비허약노인이 재가 비허약노인보다 허약정도가 심한 것으로 나타났다(p<.05). 건강증진행위점수는 재가 비허약노인과 시설거주 비허약노인이 허약노인보다 높았고, 허약노인 중에서는 재가 허약노인은 시설거주 허약노인보다 높은 것으로 나타났다(p<.05). 주관적 건강상태점수는 시설거주 비허약노인과 재가 비허약노인이 허약노인보다 높았고, 허약노인 중에서는 시설거주 허약노인이 재가 허약노인보다 높았다(p<.05). 결론적으로 재가노인과 시설거주노인을 비교해 보았을 때, 시설거주노인 중에서 허약노인의 비율이 높고 시설거주노인의 건강증진행위 수행이 부족하므로 이런 특성을 반영하여 거주유형에 따른 노인 허약예방프로그램의 개발과 적용이 필요하다.

Objectives: The purpose of this study was to classify frail and non-frail elderly and to investigate health promoting behaviors and perceived health status in the elderly according to the type of residency. Methods: This was a descriptive study. Data collection was performed from June 15th, 2009 to August 2nd, 2009. The subjects were selected at D city in Korea. Data was analyzed by descriptive statistics, $x^2$-test, and ANCOVA test with SPSS/Win 15.0 program. Results: 20.8% of the elderly living at home and 49.2% of those living in institution were frail. Frailty of the elderly living in institution was severer than those living at home. Non-frail elderly according to the type of residency showed higher scores of health promotion behavior and perceived health status than frail elderly. The elderly living at home showed higher scores of health promotion behavior than those living in institution. Conclusions: In the comparison study between the elderly living at home and institution, ratio of frail elderly among the elderly living in institution is high and health promotion behaviors are deficient as well. Frail preventive program for the elderly is needed to develop and apply in consideration of these findings.

키워드

참고문헌

  1. National Statistical Office. Statistics of aged. Seoul. The National Statistics office, 2007.
  2. Jeon KH. The 2004 survey on the living profile and welfare service needs of older persons: Results and Policy implications. Health Welfare Forum 2005;101: 50-63(Korean)
  3. Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, Mitinitski A. A global clinial measure of fitness and frailty in elderly people. Canadian Medical Association Journal 2005;173(5):489-495. https://doi.org/10.1503/cmaj.050051
  4. Fermia EE, Zarit SH, Johansson B. The disabilement process in very late life: A study of the oldest-old in Sweden. Journal of Gerontology: Psycological science 2001;563(1):12-23.
  5. Jeon EY, Kim KB. A Study of Factors That Influence the Promotion of Healthy Behavior in the Elderly According to Types of Residency. J of Korean Acad Adult Nurs 2006;36(3):475-483(Korean) https://doi.org/10.4040/jkan.2006.36.3.475
  6. Kim HY. Physical functions, health-related quality of life and ego-integrity of the frail and non-frail elderly in a local community. Master's thesis, Keimyung University, 2009(Korean).
  7. 선우덕, 송현중, 이윤환, 김동진 (2004). 허약노인대상의 보건의료서비스 개발 및 효율적 운영체계 구축방안. 한국보건사회연구원
  8. Bandeen-Roche K, Xue QL, Ferrucci L, Walston J, Guralnik JM, Chaves P, Zeger SL, Fried LP. Phenotype of frailty: Characterisation in the women's health and aging studies. Journal of Gerontological : Medical science 2006;61: 262-266. https://doi.org/10.1093/gerona/61.3.262
  9. Sung JS, Park CS. Health Promoting Behavior and Health Status in the Elderly. J of Korean Gerontological Nursing 2005;7(1):71-78(Korean)
  10. Brady B, Nies MA. Health-Promoting Lifestyles and Exercise: A Comparison of Older African American Women Above and Below Poverty Level. J of Holistic Nursing 1999;17(2):197-207. https://doi.org/10.1177/089801019901700207
  11. Jeon EY, Suh BD. Factors influencing health promotion behavior in elderly people living at home. J of Korean Gerontological Nursing 2004;6(1):38-46(Korean)
  12. Park JS, Lee HR. A comparative study on a health promoting lifestyle and perceived health status between high and low income elderly. J of Korean Community Nursing 2003;14(1):157-166(Korean)
  13. Sung KW. Comparison of ADL and Satisfaction state of the elderly in institution and home. Journal of the Korea Gerontological Society 1994;19(1):105-117(Korean)
  14. Oh MN, Choi WS. A Study on self-esteem, death anxiety and depression of the elderly in home and facilities. Korean Home Econo 2005;43(3):105-118(Korean)
  15. Noh GH, Hur JS. Determinants of sexual satisfaction between the community resident elderly persons and residents of the nursing home. Mental Health & Social Work 2008;29(8):32-65(Korean)
  16. Cohen J. Statistical power analysis for behavioral sciences. New York: Academic Press, 1988
  17. Korea Institute for Health and Social Affairs. Development of assessment tool for public long-term care system. 2004, Retrieved Feb.2. 2009, from http://www.e-welfare.go.kr.
  18. Walker SN, Sechrist KR, Pender NJ. HPLP II(Health Promotion Lifestyle Profile II). Nebraska, University of Nebraska Medical Center, 1995.
  19. Lawston MP, Moss M, Fulcomer M, Kleban MH. A research and service oriented multilevel assessment instrument. J of Geronotology 1982;37(1):91-99. https://doi.org/10.1093/geronj/37.1.91
  20. Fried LP, Tanggen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tray R, Kop WJ, Burke G, McBurnie MA. Frailty in older adults: Evidence for a phenotype. Journal of Gerontology: Medical Sciences, 2001;56A(3);146-156. https://doi.org/10.1093/gerona/56.3.M146
  21. Park YI, Lee KI, Choi KI. Case management of frail elderly-Fitting home visiting health services. Unpublished report, Daejeon University & Ministry of Health & Welfare, 2009
  22. Seo HM, Hah YS. A study of factors influencing on health promoting lifestyle in the elderly-Application of Pender's health promotion model. J Korean Acad Nurs 2004;34(7):1288-1297(Korean) https://doi.org/10.4040/jkan.2004.34.7.1288
  23. Sohng KY, Cho OH, Moon JS, Chaung SK. A comparative study on health promoting lifestyle patterns, self-esteem and self-efficacy between Korean elderly and Korean-American elderly. J Korea Community Health Nursing Academic Society 2000;14(2):355-371(Korean)
  24. Chung SD. A path analysis on depression among the elderly of institutional setting. J of the Korean Gerontol Soc 2005; 25(3):75-90(Korean)
  25. Pullen C, Walker SN, Fiandt K. (2001). Determinants of health promoting lifestyle behaviors in rural older women. Family & Community Health 2001;24(2):49-72. https://doi.org/10.1097/00003727-200107000-00008
  26. Kim CG. Factors inflencing health promoting behavior of the elderly; perceived family support and life statisfaction. J of Korean Community Nursing 2002;13(2):321-331(Korean)
  27. Shephard. Exercise and aging: Extending indepenence in older adults. Geriatrics 1993;48(5):61-64.

피인용 문헌

  1. Health Status and Factors related to Health Behaviors of Older Adults Using a Senior Center vol.27, pp.4, 2015, https://doi.org/10.7475/kjan.2015.27.4.428
  2. Self-rated Health of Frail Elders vol.17, pp.2, 2015, https://doi.org/10.17079/jkgn.2015.17.2.98
  3. Korean Terminology for Frailty vol.16, pp.2, 2012, https://doi.org/10.4235/jkgs.2012.16.2.51
  4. The Effect of Health Promotion Program for Frail Elderly Residents on Health Promoting Behavior and Health Status vol.25, pp.2, 2013, https://doi.org/10.7475/kjan.2013.25.2.194
  5. The Study for Improvement of Frailty and Depression in the Health Vulnerable Elderly of Home Visiting Health Care Service vol.20, pp.2, 2016, https://doi.org/10.4235/jkgs.2016.20.2.85
  6. Predictors and Frailty Level in the Frail Elderly Receiving Home Visiting Health Care Services vol.41, pp.3, 2016, https://doi.org/10.5393/JAMCH.2016.41.3.129