Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

The Impacts of Daily Stress, Ego Resilience, and Quality of Life of the Elderly in Long-term Care Institutions

장기요양기관 노인의 일상스트레스, 자아탄력성이 삶의 질에 미치는 영향

  • Lee, kang il (Graduate School of Hoseo University Department of Social Welfare Doctoral Program) ;
  • Lee, Jong Hun (Korea Life-Long Education.HRD Research Institute of Soongsil University)
  • 이강일 (서대학교 대학원 사회복지학과) ;
  • 이종훈 (숭실대학교 한국평생교육.HRD연구소)
  • Published : 2017.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

In this study to identify a causal relationship between daily stress, ego-resilience and the quality of life of the elderly in long-term care facility, a causal relationship model was set up and path analysis was performed. The data collected from 380 elderly users in private long-term care facilities in Greater Seoul Metropolitan area were analyzed using SPSS 22.0 and AMOS 22.0 to analyze the correlation between daily stress, ego-resilience, and the quality of life of the elderly. The results of this study are as follows; First, daily stress of the elderly showed a negative (-) direct effect on the quality of life. Second, the ego-resilience of the elderly had a positive (+) direct effect on the quality of life. Third, daily stress of the elderly showed a positive (+) direct effect on ego-resilience. Fourth, daily stress of the elderly showed indirect effect and partial mediating effect on the quality of life through ego-resilience. Therefore, in order to improve the quality of life of the elderly, it is necessary to develop programs and institutional support to reduce daily stress and increase ego-resilience.

이 연구는 장기요양기관 노인의 일상스트레스, 자아탄력성, 삶의 질 변인 간 인과관계 모델을 설정하고 경로분석을 실시하였다. 수도권에 소재한 민간 노인장기요양기관의 이용자를 대상으로 최종 380명을 SPSS 22.0과 AMOS 22.0을 이용하여 일상스트레스, 자아탄력성, 삶의 질 변인 간 관계를 분석하였다. 연구결과, 첫째, 노인의 일상스트레스는 삶의 질에 부(-)적인 직접 효과가 있는 것으로 나타났다. 둘째, 노인의 자아탄력성은 삶의 질에 정(+)적인 직접 효과가 있었다. 셋째, 노인의 일상스트레스는 자아탄력성에 정(+)적인 직접 효과가 나타났다. 넷째, 노인의 자아탄력성을 매개로 일상스트레스는 삶의 질에 간접 효과 및 부분 매개 효과가 있는 것으로 나타났다. 따라서, 노인의 삶의 질을 향상하기 위해서는 일상스트레스를 감소하고 자아탄력성을 높이기 위한 프로그램 개발 및 제도적 지원 방안이 필요하다.

Keywords

References

  1. Statistical Office, Old age statistics, 2014.
  2. Y H. Kim, A Study on the Effect of Service Type of Elderly Care institutions on Life Satisfaction and Happiness: Centered on depressive mediation effects. Graduate School of Central Theological University of doctorate thesis, 2015.
  3. Statistical Office, Estimated life expectancy, 2015.
  4. Long-term care insurance for the elderly, http://www.longtermcare.or.kr.
  5. S. B. Jo, A Study on the Society factor of the Effect on the Quality of Life for the Elderly. Graduate School of Dongguk University of doctorate thesis, 2010.
  6. A R. Choi, A comparative study on determination factor of quality of life for senior between Korea and Japan : based on economical, social, physical, and psychological aspects. Graduate School of Sung kyunkwan University of doctorate thesis, 2011.
  7. Y. K. Kim, A study on the physical, social, and leisure-welfare factors in the quality of life for the aged. Graduate School of Seoul Christian University of doctorate thesis, 2013.
  8. C. O. Kim, The Effect of Leisure Commitment to the Quality of Life on the Elderly: With focus on Mediation Effect of Depression. Graduate School of HanYoung Theological University of doctorate thesis, 2014.
  9. Y. T. Kim, W. Y. Jung, T. J. Park, "A study on the effect of leisure perception of chinese elderly on quality of life : the moderated effect of leisure flow", Tourism and Leisure Studies, Vol. 28, No. 3, pp. 273-290, 2016.
  10. J. Y. Lim, G. Y. Jeon. "Elderly's Stress and Anxiety: The Mediating Effects of Cognition of Threatening Situation and Meaning in Life", Journal of Korea Gerontological Society, Vol. 32, No. 1, pp. 257-272, 2012.
  11. Y. M. Byon, The Effect of Nursing institutions Services on Protected Old People's Quality of Life. Graduate School of Hanyoung Theological University of doctorate thesis, 2008.
  12. S. S. Kang, The Influence of the Long-term Care Insurance Service on Quality of Llfe: Focusing on Service Users and Their Family Members. Graduate School of Dankook University of doctorate thesis, 2009.
  13. J. N. Jeong, Effect of Inpatients' Service Satisfaction on Health-related Quality of Life in Geriatric Hospital. Graduate School of Wonkwang University of doctorate thesis, 2013.
  14. J. Y. Park, The Effect of Quality of Life of Family caregiver with long-term inpatient. Graduate School of Nambu University of master's degree thesis, 2014.
  15. D. Y. Kim, Study on Dietary Quality, Eating Pattern, and Quality of Life in the Elderly with Functional Decline. Graduate School of Kyung Hee University of doctorate thesis, 2015.
  16. H. S. Kim, S. S Kim, "A Converged Study about Influences of Job Stress, Job Security, Depression, Family Bond, Subjective Health Status, Social Support on Quality of Life in Married Middle-Aged Male", Journal of the Korea Convergence Society, Vol. 8, No. 3, pp. 101-114, 2017. https://doi.org/10.15207/JKCS.2017.8.3.101
  17. Y. N. Park, S. W. Yeon, "This study was to analyze relations between health promoting behavior and emotional labor, quality of life, and job satisfaction of dental hygienists", Journal of the Korea Convergence Society, Vol. 7, No. 3, pp. 25-33, 2016. https://doi.org/10.15207/JKCS.2016.7.3.025
  18. Schuessler, K. F., Fisher, G. A, "Quality of life research and sociology", Annual Review of Sociology, Vol. 11, No. 1, pp. 129-149, 1985. https://doi.org/10.1146/annurev.so.11.080185.001021
  19. N. R. Bae, A Study on the Ecological Factors Affecting the Quality of Life among the Elderly People. Graduate School of Daegu University of doctorate thesis, 2006.
  20. Bradburn, N. M, The structure of psychological well-being, 1969.
  21. Campbell, A., Converse, P. E., & Rodgers, W. L, The quality of American life: Perceptions, evaluations, and satisfactions. Russell Sage Foundation, 1976.
  22. Andrews, F. M., Withey, S. B, Social indicators of well-being: The development and measurement of perceptual indicator, New York: Plenum. doi, Vol. 10, pp. 978-1, 1976.
  23. Shin, D. C., Johnson, D. M. "Avowed happiness as an overall assessment of the quality of life", Social indicators research, Vol. 5, No. 1-4, pp. 475-492, 1978. https://doi.org/10.1007/BF00352944
  24. Diener, E, "Subjective Well-being", Psychological bulletin, Vol. 95, pp. 542-575, 1984. https://doi.org/10.1037/0033-2909.95.3.542
  25. Michalos, A. C. "Job satisfaction, marital satisfaction and the quality of life: A review and a preview. In F. M. Andrews(Ed)", Research on the Quality of life, 1986.
  26. Myers, D, "Community-Relevant Measurement of Quality of Life a Focus on Local Trends", Urban Affairs Review, Vol. 23, No. 1, pp. 108-125, 1987. https://doi.org/10.1177/004208168702300107
  27. Evans, David R., "Enhancing quality of life in the population at large", Improving the Quality of Life. Springer Netherlands, Vol. 33, pp. 47-88, 1994.
  28. Veenhoven, R, "Is happiness relative?", Social indicators research, Vol. 24, No. 1, pp. 1-34, 1991. https://doi.org/10.1007/BF00292648
  29. Kempen, G. I., Ormel, J., Brilman, E. I., & Relyveld, J., "Adaptive responses among Dutch elderly: the impact of eight chronic medical conditions on health-related quality of life", American journal of public health, Vol. 87, No.1, pp. 38-44, 1997. https://doi.org/10.2105/AJPH.87.1.38
  30. Schalock, R. L., Verdugo, M. A., & Braddock, D. L., Handbook on quality of life for human service practitioners. Washington, DC: American Association on Mental Retardation, 2002.
  31. Peterson, C., Park, N., Seligman, M. E, "Orientations to happiness and life satisfaction: The full life versus the empty life", Journal of happiness studies, Vol. 6, No. 1, pp. 25-41, 2005. https://doi.org/10.1007/s10902-004-1278-z
  32. Y. J. Choi, A Study on Factors that Affect Quality of Life of the Elderly by Age. Graduate School of Education, Hanyoung Theological University of doctorate thesis, 2008.
  33. M. Y. Jeong, M. Y. Sim, "A Study on the Quality of Life for the Elderly Participating Social welfare Using institutions: Focused on the Program's Participation: Self-esteem and Depression, The Korean Society for Advanced Studies, Vol. 29 No. 4, pp. 1539-1557, 2009.
  34. A. R. Chung, Relationship of perceived stress and ego-resilience to interpersonal problems of high school students. Graduate School of Pusan National University of master's degree thesis, 2009.
  35. M. S. An, The Moderating Effects of Ego-Resilience on the Relationship between Salaried Employees' Daily Stress and the Quality of Life. The Graduate School of Chonbuk National University of master's degree thesis, 2010.
  36. Lazarus, RS., Folkman. S., Stress, appraisal and coping, American Psychiatric Association, 1984.
  37. Tugade, M. M., Fredrickson, B. L., "Regulation of positive emotions: Emotion regulation strategies that promote resilience", Journal of Happiness Studies, Vol. 8, No. 3, pp. 311-333, 2007. https://doi.org/10.1007/s10902-006-9015-4
  38. Luthar, S. S., Cicchetti, D., Becker, B., "The construct of resilience: A critical evaluation and guidelines for future work", Child development, Vol. 71, No. 3, pp. 543-562, 2000. https://doi.org/10.1111/1467-8624.00164
  39. Rutter, M., Eary sources of security and competence. In J. Bruner & Garton (Ed.), Human growth and development. New York: Oxford University Press, 1978.
  40. Ciechettie, D. O., Toth, R., "Psychological resilience and capacity for intimacy", Qualifying paper, Harvard Graduate School of Education, 1991.
  41. H. S, Jang, "Resilience as a factor interrupting psychological disorders", Korean Psychological Association, Vol. 14, No. 1, pp. 113-127, 2001.
  42. Tellegen, A., "Structures of mood and personality and their relevance to assessing anxiety", with an emphasis on self-report, 1985.
  43. O. S. Shim, The Moderating Effect of Self-Esteem on the Relationship between the Elderly Hemodialysis Patients' Stress and Quality of Life. The Graduate School of Seoul Christian University of doctorate thesis, 2009.
  44. H. J. Kang, The Effects of Elders Stress on Successful Aging: Moderating Effects of Selection, Optimization, Compensation Coping Strategies and Social Support. Graduate School of Kyonggi University of doctorate thesis, 2013.
  45. J. D. Kim, Quality of Life, Risk Factor and Job Stress in VDT Workers with Low Back Pain. Graduate School of Hanyang Theological University of doctorate thesis, 2008.
  46. D. J. Kim, Verification of the correlation among the stress, self-respect and quality of life of single-elderlies: comparison between the urban and rural groups. Graduate School of Dongbang Culture University of doctorate thesis, 2016.
  47. B. R. Choi, Association between Occupational Stress, Psychosocial Stress and Quality of Life in 119 Ambulance Workers. Graduate School of Wonkwang University of doctorate thesis, 2015.
  48. B. H. An, The research on the relationship of public officials' leisure activity with job stress, job satisfaction, and quality of life. Graduate School of Kyonggi University of doctorate thesis, 2008.
  49. B. K. Kim, The Effect Modification of Perceived Social Support on Relationship between Stress and Quality of Life in a Community. Graduate School of The Catholic University of doctorate thesis, 2012.
  50. M. A. Lee, A study on the effects of family resilience on the life satisfaction of the family caregivers of the patients with schizophrenia. Graduate School of Chungnam University of master's degree thesis, 2005.
  51. K. H. Jeon, "Exploring the Mediating Effects of Ego-resiliency, Cognitive Triad in the relation between Parenting behaviors and Life Satisfaction", Graduate School of Ewha University of master's degree thesis, 2013.
  52. M. N. Park, Descriptive study on self-identity, resilience and health related quality of life in adolescent survivors with cancer. Graduate School of Nursing, Yonsei University of master's degree thesis, 2016.
  53. Y. W. Park & K. H. Kim, "Effects of Quality of Life, Family Strength, Self-Resilience on the School Adjustment in Male High School Students", Journal of the Korea Contents Association, Vol. 15, No. 1, pp. 221-232, 2015. https://doi.org/10.5392/JKCA.2015.15.01.221
  54. Y. K. Lee, Influence of sports participation of middle school students on ego resilience, self-expression, and the quality of life. Graduate School of Kookmin University of master's degree thesis, 2016.
  55. I. S. Lee, "Mediating Effects of the Self-Resilience between Social Capital and the Quality of Life: Comparison of Single-Mothers and Mothers from Two-Parent Families", Social Welfare Studies, Vol. 44, No. 4, pp. 199-227, 2013. https://doi.org/10.16999/kasws.2013.44.4.199
  56. K. H. Suh, I. Choi, "Job Stressors, Hardiness, Ego-Resilience, and stress Responses among Geriatric Caregivers", Korean Psychological Association, Vol. 15 No. 2, pp. 309-326, 2010.
  57. Y, H, Kim, K. H. Suh, "Relationships between Job Stresses, Ego-Resilience, Stress Responses, and Quality of Service among Hospital Employees", Korean Psychological Association, Vol. 16, No. 2, pp. 329-345, 2011.
  58. A. S. Kim, The Relationship of Hospital Employees' Job stress, Emotional labor, Resilience and Mental Health. Graduate School of Ajou University of master's degree thesis, 2011.
  59. M. W. Chi, J. Y .Lee, "The effect of emotional workers' ego-resilience and stress-coping methods on their job stress", Korean Journal of Nursing, Vol. 12, No. 2, pp. 49-236, 2012.
  60. J. Y. Lee, M. W. Chi, "Relation among Emotional Labors's Job Stress, Role Conflict, Ego-Resilience and Job Turnover", Journal of the Korea Contents Association, Vol. 12, No. 6, pp. 191-200. 2012. https://doi.org/10.5392/JKCA.2012.12.06.191
  61. S. K. Shim, Ego-Resilience, Academic Self-efficacy and Job Stress of Nurse in Schoolwork. Graduate School of Ajou University of master's degree thesis, 2015.
  62. G. S. Kim, The Impacts of Self Resilience and Family Support on the Job Stress of Production workers. Graduate School of Kaya University of master's degree thesis, 2016.
  63. S. J. Kim, The Mediating Effect of Job Stress and Social Support on the Relationship between Physical Therapists' Self-Resilience and Burnout. University of Brain Education of doctorate thesis, 2014.
  64. S. D. Kim, Y. H. Kim, "The Effect of Family Resilience on the Life Satisfaction of the Family Caregivers of the Elderly with the Dementia", Welfare for the Elderly, Vol. 45, pp. 7-32, 2009.
  65. M. H. Heo, The impact of Ego resilience and Social support on the Quality of Life and Stress by Emergency Medical Technology Students during Field Practice. Graduate School Chonnam National University of master's degree thesis, 2015.
  66. I. Kang, A Study on the Mid-Life Family Stress and Family Coping Strategies. Graduate School of Ewha Womans University of master's degree thesis, 1990.
  67. Y. J. Lee, A Study on the Buffering Effect of Social Support on the Stress of the Elderly who lives alone. Graduate School of Sungshin University of doctorate thesis, 1999.
  68. S. S. Lim, J. S. Kim, "Development and Validation of the Resilience Scale for the Elderly in Korea (RSEK)", Counseling Research, Vol. 10, No. 4, 2009.
  69. J. E. Lee, The Influence of Sense of Loss on Psycho-social Adjustment among the Elderly: Focusing on the Mediating Effect of Ego-Resilience and the Moderating Effect of Social Support. Graduate School of Cheongju University of doctorate thesis, 2014.
  70. Korean Association for Geriatric Psychiatry, Korean Dementia Assessment Test, Seoul: Hakjisa, 2003.
  71. S. M. Lee, Influence of Care Worker's Service Quality on the Quality of Life of the Homebound Elderly under Long-term Care: The Moderating Effect of Caregiving Burden of Caregivers. Graduate School Hanyoung Theological University of doctorate thesis, 2015.