Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Construction of a Structural Model about the Perceived health status, Pain, Sleep pattern and Quality of life in the Elderly

노인의 지각된 건강상태, 통증, 수면양상과 삶의 질에 관한 예측모형

  • Received : 2014.03.24
  • Accepted : 2014.07.10
  • Published : 2014.07.31
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Abstract

This study examined the fitness of a path model for the relationship among the perceived health status, pain, sleep pattern, and quality of life in the elderly. The data was collected by questionnaires to 276 elderly in J city. The collected data was analyzed using PASW 18.0(win) and AMOS 18.0(win) program. The model fit indices for the hypothetical model were in good agreement with the recommended levels ($x^2$/DF=1.393, p=.077, GFI=.971, TLI=.983, CFI=.989, RMSEA=.038). Based on the constructed model, the quality of life was influenced directly by the perceived health status, pain and sleep pattern, indirectly by the perceived health status and pain. Pain was influenced directly by the perceived health status, and sleep pattern was influenced directly by pain. These results highlight the need for the development of intervention strategies for the promotion of perceived health status in the elderly to improve the quality of life.

본 연구는 노인의 지각된 건강상태, 통증, 수면양상과 삶의 질의 인과관계를 파악하여 삶의 질 예측모형을 구축하고자 하였다. 일개 시 복지관 이용 노인과 방문건강관리 대상 노인 276명을 대상으로 2013년 9월부터 10월까지 구조화된 질문지로 지각된 건강상태, 통증, 수면양상, 삶의 질을 측정하였고 PASW와 AMOS로 분석하였다. 지각된 건강상태, 통증, 수면양상이 노인의 삶의 질을 예측하는 경로모형은 적합도가 높은 것으로 나타났다($x^2$/DF=1.393, p=.077, GFI=.971, TLI=.983, CFI=.989, RMSEA=.038). 노인의 지각된 건강상태(.169), 통증(.322), 수면양상(.214)은 삶의 질에 직접효과가 있었고, 지각된 건강상태는 통증(.374)에, 통증은 수면양상(.193)에 직접효과가 있었다. 또한 지각된 건강상태와 통증은 삶의 질에 간접효과가 있었다. 따라서 노인의 지각된 건강상태가 부정적일수록 통증과 수면양상이 나빠지고 삶의 질이 저하됨을 예측할 수 있으므로 통증, 수면 관련 중재 시 노인 자신의 건강상태에 대한 지각정도 파악이 선행되어야 하고 중재적용이 함께 이루어져야 할 것이다.

Keywords

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